Successful Treatment of Adenovirus Infection with Brincidofovir in an Immunocompromised Patient after Hematological Stem Cell Transplantation

Immunocompromised patients, including hematopoietic stem cell transplantation (HSCT), HIV, and malnourished patients, are at increased risk for viral infections with high incidences of morbidity and mortality. In HSCT patients, the infection risk is increased until immune reconstitution is re-establ...

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Main Authors: T. Van Genechten, J. van Heerden, T. Bauters, C. Dhooge
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2020/5981289
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author T. Van Genechten
J. van Heerden
T. Bauters
C. Dhooge
author_facet T. Van Genechten
J. van Heerden
T. Bauters
C. Dhooge
author_sort T. Van Genechten
collection DOAJ
description Immunocompromised patients, including hematopoietic stem cell transplantation (HSCT), HIV, and malnourished patients, are at increased risk for viral infections with high incidences of morbidity and mortality. In HSCT patients, the infection risk is increased until immune reconstitution is re-established. Therapy with standard of care antiviral drugs, for example Cidofovir, is expensive, requires prolonged administration, and has unfavorable toxicity profiles. Our case describes the successful use of Brincidofovir (CMX001), a lipid-conjugate of the nucleotide analog Cidofovir, in a 9-year-old post-HSCT girl with disseminated adenovirus infection. The increased efficacy of Brincidofovir (BCV) against multiple viral infections, limited toxicity, and oral-administered schedule opens options in different resource settings.
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spelling doaj-art-b6668b357b574e5e88347ff500a49f742025-02-03T01:26:56ZengWileyCase Reports in Infectious Diseases2090-66252090-66332020-01-01202010.1155/2020/59812895981289Successful Treatment of Adenovirus Infection with Brincidofovir in an Immunocompromised Patient after Hematological Stem Cell TransplantationT. Van Genechten0J. van Heerden1T. Bauters2C. Dhooge3Pediatric Haematology Oncology and Stem Cell Transplantation, Ghent University Hospital, Ghent, BelgiumPediatric Haematology and Oncology Department, Antwerp University Hospital, Antwerp, BelgiumPediatric Haematology Oncology and Stem Cell Transplantation, Ghent University Hospital, Ghent, BelgiumPediatric Haematology Oncology and Stem Cell Transplantation, Ghent University Hospital, Ghent, BelgiumImmunocompromised patients, including hematopoietic stem cell transplantation (HSCT), HIV, and malnourished patients, are at increased risk for viral infections with high incidences of morbidity and mortality. In HSCT patients, the infection risk is increased until immune reconstitution is re-established. Therapy with standard of care antiviral drugs, for example Cidofovir, is expensive, requires prolonged administration, and has unfavorable toxicity profiles. Our case describes the successful use of Brincidofovir (CMX001), a lipid-conjugate of the nucleotide analog Cidofovir, in a 9-year-old post-HSCT girl with disseminated adenovirus infection. The increased efficacy of Brincidofovir (BCV) against multiple viral infections, limited toxicity, and oral-administered schedule opens options in different resource settings.http://dx.doi.org/10.1155/2020/5981289
spellingShingle T. Van Genechten
J. van Heerden
T. Bauters
C. Dhooge
Successful Treatment of Adenovirus Infection with Brincidofovir in an Immunocompromised Patient after Hematological Stem Cell Transplantation
Case Reports in Infectious Diseases
title Successful Treatment of Adenovirus Infection with Brincidofovir in an Immunocompromised Patient after Hematological Stem Cell Transplantation
title_full Successful Treatment of Adenovirus Infection with Brincidofovir in an Immunocompromised Patient after Hematological Stem Cell Transplantation
title_fullStr Successful Treatment of Adenovirus Infection with Brincidofovir in an Immunocompromised Patient after Hematological Stem Cell Transplantation
title_full_unstemmed Successful Treatment of Adenovirus Infection with Brincidofovir in an Immunocompromised Patient after Hematological Stem Cell Transplantation
title_short Successful Treatment of Adenovirus Infection with Brincidofovir in an Immunocompromised Patient after Hematological Stem Cell Transplantation
title_sort successful treatment of adenovirus infection with brincidofovir in an immunocompromised patient after hematological stem cell transplantation
url http://dx.doi.org/10.1155/2020/5981289
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AT tbauters successfultreatmentofadenovirusinfectionwithbrincidofovirinanimmunocompromisedpatientafterhematologicalstemcelltransplantation
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