TY - JOUR
T1 - Successful low-dose leflunomide treatment for ganciclovir-resistant cytomegalovirus infection with high-level antigenemia in a kidney transplant
T2 - A case report and literature review
AU - Morita, Shinya
AU - Shinoda, Kazunobu
AU - Tamaki, Satoshi
AU - Kono, Hidaka
AU - Asanuma, Hiroshi
AU - Nakagawa, Ken
AU - Oya, Mototsugu
N1 - Publisher Copyright:
© 2016 Elsevier B.V.
Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2016/9/1
Y1 - 2016/9/1
N2 - Ganciclovir-resistant cytomegalovirus infection is sometimes life-threatening for organ transplant recipients. Foscarnet is an alternative, although it may potentially worsen the preexistent impaired renal function. Here we report the case of a successful low-dose leflunomide treatment in a kidney transplant recipient with very high viral replication, who underwent kidney transplantation 10 years before. Administering 10 mg leflunomide daily for 5 months without a loading dose completely cleared the ganciclovir-resistant cytomegalovirus strains.
AB - Ganciclovir-resistant cytomegalovirus infection is sometimes life-threatening for organ transplant recipients. Foscarnet is an alternative, although it may potentially worsen the preexistent impaired renal function. Here we report the case of a successful low-dose leflunomide treatment in a kidney transplant recipient with very high viral replication, who underwent kidney transplantation 10 years before. Administering 10 mg leflunomide daily for 5 months without a loading dose completely cleared the ganciclovir-resistant cytomegalovirus strains.
KW - Cytomegalovirus
KW - Ganciclovir-resistance
KW - Impaired renal function
KW - Kidney transplantation
KW - Leflunomide
UR - http://www.scopus.com/inward/record.url?scp=84980319757&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84980319757&partnerID=8YFLogxK
U2 - 10.1016/j.jcv.2016.07.015
DO - 10.1016/j.jcv.2016.07.015
M3 - Article
C2 - 27494108
AN - SCOPUS:84980319757
SN - 1386-6532
VL - 82
SP - 133
EP - 138
JO - Journal of Clinical Virology
JF - Journal of Clinical Virology
ER -