Hepatitis G virus (HGV)--association with graft failure after hematopoietic stem cell transplantation?

K Korn, B Schmidt, J Greil, J Beck, B Fleckenstein
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Abstract

A group of 28 children was investigated after hematopoietic stem cell transplantation for evidence of hepatitis G virus (HGV) infection. HGV RNA was detected in 14 of the 28 patients (50%) and persisted in 9 of 11 patients with follow-up samples for up to 32 months. Whereas thrombopoiesis was delayed in 2 of the 14 HGV-RNA-negative patients (14.3%), 6 out of 14 (42.9%) patients in the HGV-RNA-positive group had a delayed thrombopoiesis and 2 of the latter group had to be retransplanted because of complete graft failure. These were the only cases with hepatitis C virus (HCV) coinfection. Significant liver diseases were also found only in these 2 patients with HGV and HCV coinfection. These results suggest that HGV infection may significantly influence the engraftment in patients after hematopoietic stem cell transplantation, particularly if coinfection with HCV occurs.

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G型肝炎病毒(HGV)——与造血干细胞移植后移植物衰竭有关?
一组28名儿童在造血干细胞移植后进行了G型肝炎病毒(HGV)感染的调查。28例患者中有14例(50%)检测到HGV RNA, 11例患者中有9例随访时间长达32个月。14例hgv - rna阴性患者中有2例(14.3%)的血小板生成延迟,14例hgv - rna阳性组中有6例(42.9%)的血小板生成延迟,后一组中有2例由于移植完全失败而不得不再次移植。这是唯一同时感染丙型肝炎病毒(HCV)的病例。仅在这2例HGV和HCV合并感染的患者中发现了显著的肝脏疾病。这些结果表明,HGV感染可能会显著影响造血干细胞移植后患者的移植,特别是当合并HCV感染时。
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