Abstract:
:Multicentric Castleman disease (MCD) is a lymphoproliferative disorder associated with human herpesvirus 8 (HHV-8) infection among persons with human immunodeficiency virus (HIV) infection. Treatment often includes chemotherapy, and progression to non-Hodgkin lymphoma frequently occurs. MCD is characterized in part by active HHV-8 replication, and many of the symptoms of MCD may be attributable to viral gene products. We describe the effect of ganciclovir on the clinical and virologic course of MCD in a series of 3 case reports. Two patients experienced a reduction in the frequency of episodic flares of MCD and detectable HHV-8 DNA with intravenous or oral ganciclovir, whereas the third patient recovered from an acute episode of renal and respiratory failure with intravenous ganciclovir therapy. These data provide in vivo evidence for the utility of antiviral agents against HHV-8 in the management of MCD.
journal_name
Bloodjournal_title
Bloodauthors
Casper C,Nichols WG,Huang ML,Corey L,Wald Adoi
10.1182/blood-2003-05-1721subject
Has Abstractpub_date
2004-03-01 00:00:00pages
1632-4issue
5eissn
0006-4971issn
1528-0020pii
2003-05-1721journal_volume
103pub_type
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