Use of Letermovir for Salvage Therapy for Resistant Cytomegalovirus in a Pediatric Hematopoietic Stem Cell Transplant Recipient.

dc.contributor.author

Kilgore, Jacob T

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Becken, Bradford

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Varga, Matthew G

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Parikh, Suhag

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Prasad, Vinod

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Lugo, Debra

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Chang, Yeh-Chung

dc.date.accessioned

2020-05-21T11:42:42Z

dc.date.available

2020-05-21T11:42:42Z

dc.date.issued

2019-07-31

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2020-05-21T11:42:41Z

dc.description.abstract

We present here the first published use of letermovir for the treatment of resistant cytomegalovirus (CMV) in a pediatric patient. A 14-year-old girl underwent a double unrelated umbilical cord blood transplantation to treat her sickle cell disease (hemoglobin SS) and developed ganciclovir-resistant CMV DNAemia with end-organ involvement that was treated successfully with a combination of foscarnet and letermovir. After she was transitioned to letermovir monotherapy for secondary prophylaxis, she developed recurrent DNAemia with laboratory-confirmed ganciclovir, foscarnet, and letermovir resistance.

dc.identifier

5541615

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2048-7193

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2048-7207

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https://hdl.handle.net/10161/20674

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eng

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Oxford University Press (OUP)

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Journal of the Pediatric Infectious Diseases Society

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10.1093/jpids/piz050

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antiviral resistance

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cytomegalovirus (CMV)

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hematopoietic stem cell transplant

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letermovir

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Use of Letermovir for Salvage Therapy for Resistant Cytomegalovirus in a Pediatric Hematopoietic Stem Cell Transplant Recipient.

dc.type

Journal article

duke.contributor.orcid

Chang, Yeh-Chung|0000-0003-3073-4980

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School of Medicine

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Pediatrics, Infectious Diseases

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Medicine, Infectious Diseases

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Duke

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Pediatrics

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Clinical Science Departments

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Medicine

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