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Delay in platelet recovery after bone marrow transplantation: impact of
cytomegalovirus infection
LF Verdonck, H van Heugten and GC de Gast
The effect of cytomegalovirus (CMV) infection on hematopoietic recovery
after marrow-ablative chemoradiotherapy followed by autologous bone marrow
transplantation (BMT) was studied in patients with non-Hodgkin's lymphoma
of high-grade malignancy and in patients with acute leukemia. The recovery
of platelets after autologous BMT occurred significantly quicker in
CMV-negative patients than in CMV-positive patients (platelets greater than
50,000 per cubic millimeter after 21 1/2 v 40 days, respectively). No
differences in the recovery of neutrophils were found between those with or
without CMV infection. CMV-positive patients required significantly more
transfusion support with thrombocyte concentrates than CMV-negative
patients (three v six thrombocyte concentrates). In conclusion, CMV
infections do not influence neutrophil recovery but do delay platelet
recovery. As a consequence, patients with a CMV infection, whether primary,
reactivated, or latent, require more thrombocyte concentrates, which
increases the risk of transfusion-related infections.
Volume 66,
Issue 4,
pp. 921-925,
10/01/1985
Copyright © 1985 by The American Society of Hematology

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