Epstein-Barr virus polymerase chain reaction-negative stage IV post-transplant lymphoproliferative disorder in a heart transplant patient treated with rituximab

J Heart Lung Transplant. 2008 Aug;27(8):928-31. doi: 10.1016/j.healun.2008.05.020. Epub 2008 Jul 3.

Abstract

Post-transplant lymphoproliferative disorder (PTLD) is often associated with Epstein-Barr virus (EBV). However, in this report, we describe a heart transplant recipient with pathologically proven EBV-positive PTLD with undetectable virus by polymerase chain reaction. The patient had remission after anti-CD20 antibody treatment early after transplantation.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Antibodies / therapeutic use
  • Antibodies, Monoclonal / therapeutic use*
  • Antibodies, Monoclonal, Murine-Derived
  • Antigens, CD20
  • Epstein-Barr Virus Infections / diagnosis*
  • Epstein-Barr Virus Infections / drug therapy*
  • Heart Transplantation*
  • Herpesvirus 4, Human
  • Humans
  • Immunologic Factors / therapeutic use*
  • Lymphoproliferative Disorders / diagnosis*
  • Lymphoproliferative Disorders / drug therapy*
  • Lymphoproliferative Disorders / virology
  • Male
  • Polymerase Chain Reaction
  • Rituximab
  • Treatment Outcome
  • Viral Load

Substances

  • Antibodies
  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Murine-Derived
  • Antigens, CD20
  • Immunologic Factors
  • Rituximab