Citomegalovirus: monitoraggio dell’infezione e della terapia nei pazienti trapiantati di rene

CMV infection is a major cause of disease following renal transplantation. Clinical diagnosis is difficult because the virus usually produces only few, if any, symptoms. Consequently rapid and sensitive diagnostic methods are needed, since clinically effective antiviral therapy is available. Qualita...

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Main Authors: Nicola Liritano, Maria Gabriella Lepore, Rosangela De Grazia, Elio De Fazio, Rosanna Masciari, Gianfranco Merando, Isolina Mantelli, Luigi Lombardi, Paolo Scerbo, Lucio Cosco, Teresa Ferraro, Caterina Filia, Ignazio Vasapollo
Format: Article
Language:English
Published: PAGEPress Publications 2003-12-01
Series:Microbiologia Medica
Subjects:
Online Access:http://www.pagepressjournals.org/index.php/mm/article/view/3031
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author Nicola Liritano
Maria Gabriella Lepore
Rosangela De Grazia
Elio De Fazio
Rosanna Masciari
Gianfranco Merando
Isolina Mantelli
Luigi Lombardi
Paolo Scerbo
Lucio Cosco
Teresa Ferraro
Caterina Filia
Ignazio Vasapollo
author_facet Nicola Liritano
Maria Gabriella Lepore
Rosangela De Grazia
Elio De Fazio
Rosanna Masciari
Gianfranco Merando
Isolina Mantelli
Luigi Lombardi
Paolo Scerbo
Lucio Cosco
Teresa Ferraro
Caterina Filia
Ignazio Vasapollo
author_sort Nicola Liritano
collection DOAJ
description CMV infection is a major cause of disease following renal transplantation. Clinical diagnosis is difficult because the virus usually produces only few, if any, symptoms. Consequently rapid and sensitive diagnostic methods are needed, since clinically effective antiviral therapy is available. Qualitative-quantitative detection of CMV-DNA in leukocytes and in plasma and pp65-antigenaemia are the methods which allow to evidence viral replication activity. In this study we report the our experience about follow-up of 70 kidney transplant recipients. Results indicate that while active CMV infection occured in 25 patients (37,5%), only 11 patients (15,7%) showed antigenaemia and DNAemia values predictive of CMV disease. In this study we also evaluated the efficacy of pre-emptive therapy.
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spelling doaj.art-aa271d44201c4d6d9003444d313444492022-12-22T01:47:39ZengPAGEPress PublicationsMicrobiologia Medica2280-64232003-12-0118410.4081/mm.2003.30312279Citomegalovirus: monitoraggio dell’infezione e della terapia nei pazienti trapiantati di reneNicola LiritanoMaria Gabriella LeporeRosangela De GraziaElio De FazioRosanna MasciariGianfranco MerandoIsolina MantelliLuigi LombardiPaolo ScerboLucio CoscoTeresa FerraroCaterina FiliaIgnazio VasapolloCMV infection is a major cause of disease following renal transplantation. Clinical diagnosis is difficult because the virus usually produces only few, if any, symptoms. Consequently rapid and sensitive diagnostic methods are needed, since clinically effective antiviral therapy is available. Qualitative-quantitative detection of CMV-DNA in leukocytes and in plasma and pp65-antigenaemia are the methods which allow to evidence viral replication activity. In this study we report the our experience about follow-up of 70 kidney transplant recipients. Results indicate that while active CMV infection occured in 25 patients (37,5%), only 11 patients (15,7%) showed antigenaemia and DNAemia values predictive of CMV disease. In this study we also evaluated the efficacy of pre-emptive therapy.http://www.pagepressjournals.org/index.php/mm/article/view/3031renal transplant, CMV infectious diagnosis, pre-emptive therapy.
spellingShingle Nicola Liritano
Maria Gabriella Lepore
Rosangela De Grazia
Elio De Fazio
Rosanna Masciari
Gianfranco Merando
Isolina Mantelli
Luigi Lombardi
Paolo Scerbo
Lucio Cosco
Teresa Ferraro
Caterina Filia
Ignazio Vasapollo
Citomegalovirus: monitoraggio dell’infezione e della terapia nei pazienti trapiantati di rene
Microbiologia Medica
renal transplant, CMV infectious diagnosis, pre-emptive therapy.
title Citomegalovirus: monitoraggio dell’infezione e della terapia nei pazienti trapiantati di rene
title_full Citomegalovirus: monitoraggio dell’infezione e della terapia nei pazienti trapiantati di rene
title_fullStr Citomegalovirus: monitoraggio dell’infezione e della terapia nei pazienti trapiantati di rene
title_full_unstemmed Citomegalovirus: monitoraggio dell’infezione e della terapia nei pazienti trapiantati di rene
title_short Citomegalovirus: monitoraggio dell’infezione e della terapia nei pazienti trapiantati di rene
title_sort citomegalovirus monitoraggio dell infezione e della terapia nei pazienti trapiantati di rene
topic renal transplant, CMV infectious diagnosis, pre-emptive therapy.
url http://www.pagepressjournals.org/index.php/mm/article/view/3031
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