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Impact of cytomegalovirus intestinal disease on the prognosis in patients with severe intestinal graft- versus- host disease

To explore risk factors, clinical characteristics and prognosis of CMV enteritis combined with severe intestinal graft- versus- host disease (GVHD). The data of 80 intestinal grade Ⅲ/Ⅳ GVHD patients from January 2005 to September 2015 in hematology of PKUPH were retrospectively analyzed. All patient...

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Published in:Zhōnghuá xuèyèxué zázhì 2016-07, Vol.37 (7), p.597
Main Authors: Liu, Y, Mo, X D, Han, T T, Xu, L P, Zhang, X H, Wang, Y, Liu, K Y, Huang, X J
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Mo, X D
Han, T T
Xu, L P
Zhang, X H
Wang, Y
Liu, K Y
Huang, X J
description To explore risk factors, clinical characteristics and prognosis of CMV enteritis combined with severe intestinal graft- versus- host disease (GVHD). The data of 80 intestinal grade Ⅲ/Ⅳ GVHD patients from January 2005 to September 2015 in hematology of PKUPH were retrospectively analyzed. All patients received colonoscopy and all GVHD diagnoses were based on clinical manifestation, colonoscopy and biopsies. All patients were divided into biopsy- proven CMV enteritis and control groups. Various characteristics, clinical manifestation and transplantation related mortality were compared. A total of 18 patients were diagnosed with biopsy- proven CMV enteritis, including 14 antigens positive, 2 inclusion bodies positive (1 positive for both antigen and inclusion body) and 3 intestinal mucosa CMV PCR positive. The median diagnosis time for CMV enteritis was 65 days (range, 27 to 278 days) after transplantation. There was no statistically difference for baseline (age, gender, underlying disease, status of disease, et
doi_str_mv 10.3760/cma.j.issn.0253-2727.2016.07.011
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subjects Cytomegalovirus
Cytomegalovirus Infections - diagnosis
Enteritis - diagnosis
Enteritis - virology
Graft vs Host Disease - diagnosis
Graft vs Host Disease - virology
Humans
Intestines - pathology
Polymerase Chain Reaction
Prognosis
Retrospective Studies
Risk Factors
title Impact of cytomegalovirus intestinal disease on the prognosis in patients with severe intestinal graft- versus- host disease
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