Epstein-Barr virus-negative diffuse large B-cell post-transplant lymphoma in an Epstein-Barr virus-positive recipient

Post-transplant lymphoproliferative disease (PTLD) can arise as a complication after solid organ transplantation. Epstein-Barr virus (EBV) infection is a known risk factor and is known to drive disease manifestation. PTLD can occur in EBV-negative recipients and with EBV-negative donor organs, howev...

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Main Authors: Lee, C, Vincentelli, H, Visuri, J, Knight, S, Ploeg, R
Format: Journal article
Language:English
Published: Cureus 2021
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author Lee, C
Vincentelli, H
Visuri, J
Knight, S
Ploeg, R
author_facet Lee, C
Vincentelli, H
Visuri, J
Knight, S
Ploeg, R
author_sort Lee, C
collection OXFORD
description Post-transplant lymphoproliferative disease (PTLD) can arise as a complication after solid organ transplantation. Epstein-Barr virus (EBV) infection is a known risk factor and is known to drive disease manifestation. PTLD can occur in EBV-negative recipients and with EBV-negative donor organs, however, EBV-negative PTLD pathogenesis is unknown. Here, we present PTLD presenting as intussusception in a patient with a historic simultaneous pancreas-kidney transplant (SPK). This case study presents the first documented case of EBV-negative post-transplant lymphoproliferative disease in an EBV-seropositive SPK recipient from an EBV-positive donor. Here we describe the diagnosis and management of this patient, discuss the differences between EBV positive and negative driven post-transplant lymphoproliferative disease, and highlight areas of research opportunity in the latter.
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spelling oxford-uuid:4105c5e3-3daa-4ed6-9ac9-258ffcfd5c672022-03-26T14:41:12ZEpstein-Barr virus-negative diffuse large B-cell post-transplant lymphoma in an Epstein-Barr virus-positive recipientJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4105c5e3-3daa-4ed6-9ac9-258ffcfd5c67EnglishSymplectic ElementsCureus2021Lee, CVincentelli, HVisuri, JKnight, SPloeg, RPost-transplant lymphoproliferative disease (PTLD) can arise as a complication after solid organ transplantation. Epstein-Barr virus (EBV) infection is a known risk factor and is known to drive disease manifestation. PTLD can occur in EBV-negative recipients and with EBV-negative donor organs, however, EBV-negative PTLD pathogenesis is unknown. Here, we present PTLD presenting as intussusception in a patient with a historic simultaneous pancreas-kidney transplant (SPK). This case study presents the first documented case of EBV-negative post-transplant lymphoproliferative disease in an EBV-seropositive SPK recipient from an EBV-positive donor. Here we describe the diagnosis and management of this patient, discuss the differences between EBV positive and negative driven post-transplant lymphoproliferative disease, and highlight areas of research opportunity in the latter.
spellingShingle Lee, C
Vincentelli, H
Visuri, J
Knight, S
Ploeg, R
Epstein-Barr virus-negative diffuse large B-cell post-transplant lymphoma in an Epstein-Barr virus-positive recipient
title Epstein-Barr virus-negative diffuse large B-cell post-transplant lymphoma in an Epstein-Barr virus-positive recipient
title_full Epstein-Barr virus-negative diffuse large B-cell post-transplant lymphoma in an Epstein-Barr virus-positive recipient
title_fullStr Epstein-Barr virus-negative diffuse large B-cell post-transplant lymphoma in an Epstein-Barr virus-positive recipient
title_full_unstemmed Epstein-Barr virus-negative diffuse large B-cell post-transplant lymphoma in an Epstein-Barr virus-positive recipient
title_short Epstein-Barr virus-negative diffuse large B-cell post-transplant lymphoma in an Epstein-Barr virus-positive recipient
title_sort epstein barr virus negative diffuse large b cell post transplant lymphoma in an epstein barr virus positive recipient
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