Abstract
We report a case of varicella-zoster virus (VZV) infection associated with severe abdominal pain, inappropriate antidiuretic hormone (ADH) secretion (SIADH) and death, 13 months post-autologous peripheral blood stem cell transplantation (PBSCT). This unusual clinical triad has been reported twice in the setting of allogeneic bone marrow transplantation, however it has not been reported after autologous transplantation and never so long after transplantation. We speculate as to why this occurred, as early recognition might have altered the clinical outcome.
MeSH terms
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Abdominal Pain / etiology*
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Antibodies, Monoclonal / administration & dosage
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Antibodies, Monoclonal / adverse effects*
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Antibodies, Monoclonal, Murine-Derived
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Antineoplastic Agents / administration & dosage
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Antineoplastic Agents / adverse effects
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Fatal Outcome
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Female
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Hematopoietic Stem Cell Transplantation / adverse effects*
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Herpes Zoster / diagnosis
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Herpes Zoster / etiology*
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Herpes Zoster / pathology
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Humans
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Immunosuppression Therapy / adverse effects
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Inappropriate ADH Syndrome / physiopathology*
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Lymphoma, Follicular / complications
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Lymphoma, Follicular / therapy
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Middle Aged
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Rituximab
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Transplantation, Autologous
Substances
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Antibodies, Monoclonal
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Antibodies, Monoclonal, Murine-Derived
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Antineoplastic Agents
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Rituximab