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Pediatric Hematology and Oncology Volume 41, 2024 - Issue 3
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Brief Reports

Intractable abdominal pain as the sole symptom of Varicella Zoster reactivation after allogeneic stem cell transplantation: brief case report and review of the literature

Yogi ChopraBlood and Marrow Transplant/Cellular Therapy Program, Division of Hematology/Oncology, The Hospital for Sick Children/University of Toronto, Toronto, CanadaCorrespondence[email protected]
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,
Carly HongBlood and Marrow Transplant/Cellular Therapy Program, Division of Hematology/Oncology, The Hospital for Sick Children/University of Toronto, Toronto, CanadaView further author information
,
Tal SchechterBlood and Marrow Transplant/Cellular Therapy Program, Division of Hematology/Oncology, The Hospital for Sick Children/University of Toronto, Toronto, CanadaView further author information
,
Muhammad AliBlood and Marrow Transplant/Cellular Therapy Program, Division of Hematology/Oncology, The Hospital for Sick Children/University of Toronto, Toronto, CanadaView further author information
,
Kuang-Yueh ChiangBlood and Marrow Transplant/Cellular Therapy Program, Division of Hematology/Oncology, The Hospital for Sick Children/University of Toronto, Toronto, CanadaView further author information
,
Donna WallBlood and Marrow Transplant/Cellular Therapy Program, Division of Hematology/Oncology, The Hospital for Sick Children/University of Toronto, Toronto, CanadaView further author information
&
Joerg KruegerBlood and Marrow Transplant/Cellular Therapy Program, Division of Hematology/Oncology, The Hospital for Sick Children/University of Toronto, Toronto, CanadaView further author information
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Pages 224-228 | Received 28 Jul 2023, Accepted 05 Oct 2023, Published online: 29 Oct 2023

References

  • Koc Y, Miller K, Schenkein M, et al. Varicella zoster virus infections following allogeneic bone marrow transplantation: frequency, risk factors, and clinical outcome. Biol Blood Marrow Transplant. 2000;6(1):44–49. doi:10.1016/s1083-8791(00)70051-6.
  • Leung T, Chik K, Li C, et al. Incidence, risk factors and outcome of varicella-zoster virus infection in children after haematopoietic stem cell transplantation. Bone Marrow Transplant. 2000;25(2):167–172. doi:10.1038/sj.bmt.1702119.
  • Kawamura K, Wada H, Yamasaki R, et al. Prophylactic role of long-term ultra-low-dose acyclovir for varicella zoster virus disease after allogeneic hematopoietic stem cell transplantation. Int J Infect Dis. 2014;19:26–32. doi:10.1016/j.ijid.2013.09.020.
  • Tomblyn M, Chiller T, Einsele M, et al. Guidelines for preventing infectious complications among hematopoietic cell transplantation recipients: a global perspective. Biol Blood Marrow Transplant. 2009;15(10):1143–1238. doi:10.1016/j.bbmt.2009.06.019.
  • Hardy IB, Gershon A, Steinberg S, et al. The incidence of zoster after immunization with live attenuated varicella vaccine: a study in children with leukemia. N Engl J Med. 1991;325(22):1545–1550. doi:10.1056/NEJM199111283252204.
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  • Rogers SY, Irving W, Harris A, et al. Visceral varicella zoster infection after bone marrow transplantation without skin involvement and the use of PCR for diagnosis. Bone Marrow Transplant. 1995;15(5):805–807.
  • Szabo F, Horvath N, Seimon S, et al. Inappropriate antidiuretic hormone secretion, abdominal pain and disseminated varicella-zoster virus infection: an unusual triad in a patient 6 months post mini-allogeneic peripheral stem cell transplant for chronic myeloid leukemia. Bone Marrow Transplant. 2000;26(2):231–233. doi:10.1038/sj.bmt.1702486.
  • Yagi T, Karasuno T, Hasegawa T, et al. Acute abdomen without cutaneous signs of varicella zoster virus infection as a late complication of allogeneic bone marrow transplantation: importance of empiric therapy with acyclovir. Bone Marrow Transplant. 2000;25(9):1003–1005. doi:10.1038/sj.bmt.1702340.
  • Au WY, Ma SY, Cheng VC, et al. Disseminated zoster, hyponatraemia, severe abdominal pain and leukemia relapse: recognition of a new clinical quartet after bone marrow transplantation. Br J Dermatol. 2003;149(4):862–865. doi:10.1046/j.1365-2133.2003.05656.x.
  • Peritz DC, Duncan C, Kurek K, etal. Visceral varicella zoster virus (VZV) after allogeneic hematopoietic stem cell transplant (HSCT) in pediatric patients with chronic graft-versus-host disease (cGVHD). J Pediatr Hematol Oncol. 2008;30(12):931–934. doi:10.1097/MPH.0b013e31817e4b14.
  • Rau R, Fitzhugh CD, Baird K, etal. Triad of severe abdominal pain, inappropriate antidiuretic hormone secretion, and disseminated varicella-zoster virus infection preceding cutaneous manifestations after hematopoietic stem cell transplantation: utility of PCR for early recognition and therapy. Pediatr Infect Dis J. 2008;27(3):265–268. doi:10.1097/INF.0b013e31815cb239.
  • Hamanishi T, Nishikawa H, Kobayashi M, etal. Acute abdominal pain as a presenting symptom of varicella-zoster virus infection in an allogeneic bone marrow transplant. Rinsho Ketsueki. 1998;39(1):53–58.
  • Pai V, Davis D, Clayton J. Efficacy of low-dose acyclovir prophylaxis against Varicella Zoster virus in pediatric hematopoietic stem cell transplantation patients. Abstracts/Biol Blood Marrow Transplant. 2013;19:S370–S380.

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