Rinsho Ketsueki
Online ISSN : 1882-0824
Print ISSN : 0485-1439
ISSN-L : 0485-1439
Varicella Penumonia with Multiple Nodular Shadows After Allogeneic Bone Marrow Transplantation in Chronic Myeloid Ieukemia
Kunio YANOYasuyuki NAKANOMasahide KOBAYASHIKazuhiro TOMITANorio KASAMATSUIkko HASHIZUME
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1995 Volume 36 Issue 11 Pages 1274-1278

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Abstract

A 30-year-female with chronic myelogenous leukemia received allogeneic bone marrow transplantation (BMT). On day 104, low-grade fever, cough, and general malaise developed, resulting in hospitalization 10 days later. Chest X ray revealed diffuse infitrates, suggesting cytomegalovirus interstitial pneumonia. Ganciclovir (DHPG) was given daily and all symptoms disappeared three days later. However, a very few vesicular lesions appeared on her trunk and her two children had chickenpox at that time. Chest CT was taken and disclosed diffuse nodular shadows. Clinical course and chest CT suggested varicella pneumonia. DHPG administration was stopped and acyclovir PO started to be given. She was discharged in excellent condition. In this report, we show a rare case of varicella pneumonia after allogeneic BMT and efficacy of DHPG for the treatment of varicella pneumonia.

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© 1995 The Japanese Society of Hematology
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