Progressive multifocal leukoencephalopathy following fludarabine treatment in a chronic lymphocytic leukemia patient

Progressive multifocal leukoencephalopathy (PML) is a neurological disease caused by infection of the central nervous system (CNS) with the JC polyomavirus (JCV). JCV is endemic and infects a large proportion (70–90%) of healthy individuals worldwide, but infection is latent. JCV reactivation may oc...

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Бібліографічні деталі
Опубліковано в: :Experimental Oncology
Дата:2011
Автори: Lejniece, S., Murovska, M., Chapenko, S., Breiksa, B., Jaunmuktane, Z., Feldmane, L., Ziedlina, I., Gomez-Roman, J., Garcia-Cabeza, M., Lejnieks, A.
Формат: Стаття
Мова:English
Опубліковано: Інститут експериментальної патології, онкології і радіобіології ім. Р.Є. Кавецького НАН України 2011
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Онлайн доступ:https://nasplib.isofts.kiev.ua/handle/123456789/138666
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Назва журналу:Digital Library of Periodicals of National Academy of Sciences of Ukraine
Цитувати:Progressive multifocal leukoencephalopathy following fludarabine treatment in a chronic lymphocytic leukemia patient / S. Lejniece, M. Murovska, S. Chapenko, B. Breiksa, Z. Jaunmuktane, L. Feldmane, I. Ziedlina, J. Gomez-Roman, M. Garcia-Cabeza, A. Lejnieks // Experimental Oncology. — 2011. — Т. 33, № 4. — С. 239-241. — Бібліогр.: 13 назв. — англ.

Репозитарії

Digital Library of Periodicals of National Academy of Sciences of Ukraine
id nasplib_isofts_kiev_ua-123456789-138666
record_format dspace
spelling Lejniece, S.
Murovska, M.
Chapenko, S.
Breiksa, B.
Jaunmuktane, Z.
Feldmane, L.
Ziedlina, I.
Gomez-Roman, J.
Garcia-Cabeza, M.
Lejnieks, A.
2018-06-19T11:19:10Z
2018-06-19T11:19:10Z
2011
Progressive multifocal leukoencephalopathy following fludarabine treatment in a chronic lymphocytic leukemia patient / S. Lejniece, M. Murovska, S. Chapenko, B. Breiksa, Z. Jaunmuktane, L. Feldmane, I. Ziedlina, J. Gomez-Roman, M. Garcia-Cabeza, A. Lejnieks // Experimental Oncology. — 2011. — Т. 33, № 4. — С. 239-241. — Бібліогр.: 13 назв. — англ.
1812-9269
https://nasplib.isofts.kiev.ua/handle/123456789/138666
Progressive multifocal leukoencephalopathy (PML) is a neurological disease caused by infection of the central nervous system (CNS) with the JC polyomavirus (JCV). JCV is endemic and infects a large proportion (70–90%) of healthy individuals worldwide, but infection is latent. JCV reactivation may occur, if the immune function is compromised. Aim: To present a PML case in a CLL patient after a long course of disease and treatment with fludarabine. JCV virus infection in this patient was proven both in brain biopsy material and blood. Methods: Patient with a nine-year history of CLL was hospitalized with the weakness in the right leg and left hand, tremors, speech difficulties. An MRI diagnosed infiltrative glial tumor of the left hemisphere, proliferating predominantly in the frontal lobe, more in the gyrus frontalis superior region. CNS tumor biopsy performed. Results: Morphology and immunoprofile of the lesion consistent with progressive multifocal leukoencephalopathy. The material from biopsy was diagnosed as positive for JCV DNA. JCV and HHV-7 genomic sequences were found in patient’s PBL DNA sample. In a plasma DNA sample, only genomic sequences were detected. Conclusion: The present case draws attention to the fact that the use of fludarabine and its combinations in CLL therapy increases the risk of JCV infection reactivation and development of serious complications like PML.
en
Інститут експериментальної патології, онкології і радіобіології ім. Р.Є. Кавецького НАН України
Experimental Oncology
Short communications
Progressive multifocal leukoencephalopathy following fludarabine treatment in a chronic lymphocytic leukemia patient
Article
published earlier
institution Digital Library of Periodicals of National Academy of Sciences of Ukraine
collection DSpace DC
title Progressive multifocal leukoencephalopathy following fludarabine treatment in a chronic lymphocytic leukemia patient
spellingShingle Progressive multifocal leukoencephalopathy following fludarabine treatment in a chronic lymphocytic leukemia patient
Lejniece, S.
Murovska, M.
Chapenko, S.
Breiksa, B.
Jaunmuktane, Z.
Feldmane, L.
Ziedlina, I.
Gomez-Roman, J.
Garcia-Cabeza, M.
Lejnieks, A.
Short communications
title_short Progressive multifocal leukoencephalopathy following fludarabine treatment in a chronic lymphocytic leukemia patient
title_full Progressive multifocal leukoencephalopathy following fludarabine treatment in a chronic lymphocytic leukemia patient
title_fullStr Progressive multifocal leukoencephalopathy following fludarabine treatment in a chronic lymphocytic leukemia patient
title_full_unstemmed Progressive multifocal leukoencephalopathy following fludarabine treatment in a chronic lymphocytic leukemia patient
title_sort progressive multifocal leukoencephalopathy following fludarabine treatment in a chronic lymphocytic leukemia patient
author Lejniece, S.
Murovska, M.
Chapenko, S.
Breiksa, B.
Jaunmuktane, Z.
Feldmane, L.
Ziedlina, I.
Gomez-Roman, J.
Garcia-Cabeza, M.
Lejnieks, A.
author_facet Lejniece, S.
Murovska, M.
Chapenko, S.
Breiksa, B.
Jaunmuktane, Z.
Feldmane, L.
Ziedlina, I.
Gomez-Roman, J.
Garcia-Cabeza, M.
Lejnieks, A.
topic Short communications
topic_facet Short communications
publishDate 2011
language English
container_title Experimental Oncology
publisher Інститут експериментальної патології, онкології і радіобіології ім. Р.Є. Кавецького НАН України
format Article
description Progressive multifocal leukoencephalopathy (PML) is a neurological disease caused by infection of the central nervous system (CNS) with the JC polyomavirus (JCV). JCV is endemic and infects a large proportion (70–90%) of healthy individuals worldwide, but infection is latent. JCV reactivation may occur, if the immune function is compromised. Aim: To present a PML case in a CLL patient after a long course of disease and treatment with fludarabine. JCV virus infection in this patient was proven both in brain biopsy material and blood. Methods: Patient with a nine-year history of CLL was hospitalized with the weakness in the right leg and left hand, tremors, speech difficulties. An MRI diagnosed infiltrative glial tumor of the left hemisphere, proliferating predominantly in the frontal lobe, more in the gyrus frontalis superior region. CNS tumor biopsy performed. Results: Morphology and immunoprofile of the lesion consistent with progressive multifocal leukoencephalopathy. The material from biopsy was diagnosed as positive for JCV DNA. JCV and HHV-7 genomic sequences were found in patient’s PBL DNA sample. In a plasma DNA sample, only genomic sequences were detected. Conclusion: The present case draws attention to the fact that the use of fludarabine and its combinations in CLL therapy increases the risk of JCV infection reactivation and development of serious complications like PML.
issn 1812-9269
url https://nasplib.isofts.kiev.ua/handle/123456789/138666
citation_txt Progressive multifocal leukoencephalopathy following fludarabine treatment in a chronic lymphocytic leukemia patient / S. Lejniece, M. Murovska, S. Chapenko, B. Breiksa, Z. Jaunmuktane, L. Feldmane, I. Ziedlina, J. Gomez-Roman, M. Garcia-Cabeza, A. Lejnieks // Experimental Oncology. — 2011. — Т. 33, № 4. — С. 239-241. — Бібліогр.: 13 назв. — англ.
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