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Smolle, E; Trojan, A; Schuster, SJ; Haybaeck, J.
Progressive multifocal leukoencephalopathy--a case report and review of the literature.
In Vivo. 2014; 28(5):941-948
(- Case Report)
Web of Science
PubMed
- Führende Autor*innen der Med Uni Graz
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Haybäck Johannes
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Taucher Elisabeth
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- Abstract:
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Progressive multifocal leukoencephalopathy (PML) is a demyelinating disease of the central nervous system which affects the white matter and is caused by reactivation of the JC polyomavirus.
We report the case of a 63-year-old man with chronic lymphocytic leukemia who was treated with fludarabine; rituximab and fludarabine; fludarabine, cyclophsphamide and rituximab; and lenalidomide. While he underwent chemotherapy, the patient was diagnosed with PML. After stabilization of PML, the patient underwent non-myeloablative allogeneic bone marrow transplantation as a treatment for chronic lymphocytic leukemia. Unfortunately, after several opportunistic infections, the patient died.
The patient underwent allogeneic bone marrow transplantation with the expectation that donor-derived competent immunological cells would migrate into the cerebral lesions, maintaining immunological response. The effect of bone marrow transplantation in patients with PML requires investigation in larger patient series.
Copyright © 2014 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
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Antineoplastic Combined Chemotherapy Protocols - therapeutic use
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Brain - pathology
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Fatal Outcome -
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Hematopoietic Stem Cell Transplantation -
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Humans -
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Leukemia, Lymphocytic, Chronic, B-Cell - complications
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Leukemia, Lymphocytic, Chronic, B-Cell - therapy
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Leukoencephalopathy, Progressive Multifocal - diagnosis
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Leukoencephalopathy, Progressive Multifocal - etiology
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Magnetic Resonance Imaging -
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Male -
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Middle Aged -
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Polyomavirus Infections - complications
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Transplantation, Homologous -
- Find related publications in this database (Keywords)
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Leukoencephalopathy
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progressive multifocal
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JC virus
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demyelinating diseases
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therapy