Biology of Blood and Marrow Transplantation
Volume 13, Issue 12 , Pages 1487-1498 , December 2007

Higher Risk of Cytomegalovirus and Aspergillus Infections in Recipients of T Cell–Depleted Unrelated Bone Marrow: Analysis of Infectious Complications in Patients Treated with T Cell Depletion Versus Immunosuppressive Therapy to Prevent Graft-versus-Host Disease

  • Jo-Anne H. van Burik

      Affiliations

    • Departments of Pediatrics and Medicine, University of Minnesota, Minneapolis, Minnesota
    • Corresponding Author InformationCorrespondence and reprint requests: Jo-Anne van Burik, MMC 250, 420 Delaware Street SE, Minneapolis, MN, 55455; Tel: 612- 625-8462; Fax: 612-625-4410.
  • ,
  • Shelly L. Carter

      Affiliations

    • The EMMES Corporation, Rockville, Maryland
  • ,
  • Alison G. Freifeld

      Affiliations

    • Department of Medicine, University of Nebraska, Omaha, Nebraska
  • ,
  • Kevin P. High

      Affiliations

    • Department of Medicine, Wake Forest University, Winston-Salem, North Carolina
  • ,
  • Kamar T. Godder

      Affiliations

    • Department of Pediatrics, Virginia Commonwealth University, Richmond, Virginia
  • ,
  • Genovefa A. Papanicolaou

      Affiliations

    • Departments of Medicine and Pediatrics, Memorial-Sloan Kettering Cancer Center, New York, New York
  • ,
  • Adam M. Mendizabal

      Affiliations

    • The EMMES Corporation, Rockville, Maryland
  • ,
  • John E. Wagner

      Affiliations

    • Departments of Pediatrics and Medicine, University of Minnesota, Minneapolis, Minnesota
  • ,
  • Saul Yanovich

      Affiliations

    • Department of Medicine, Medical College of Virginia, Richmond, Virginia
  • ,
  • Nancy A. Kernan

      Affiliations

    • Departments of Medicine and Pediatrics, Memorial-Sloan Kettering Cancer Center, New York, New York

Received 17 July 2007 ,Accepted 30 August 2007.

  • Image Result

    Serious infections. A, Time to developing a serious infection (severe, life-threatening, or fatal) was similar in the 2 treatment arms over the 3-year follow-up period (P = .14). B, Survival by treatm

    Serious infections. A, Time to developing a serious infection (severe, life-threatening, or fatal) was similar in the 2 treatment arms over the 3-year follow-up period (P = .14). B, Survival by treatment and presence of a serious bacterial infection (P = not significant). C, Probability of developing a serious bacterial bloodstream infection (severe, life-threatening, or fatal) in the first year posttransplantation was similar in the 2 treatment arms (P = .13).

  • Image Result
    CMV. A, The probability of developing a serious CMV infection (severe, life-threatening, or fatal) was higher in the TCD arm (28%) compared with the M/C arm (17%) (P = .02). B, Three-year survival in

    CMV. A, The probability of developing a serious CMV infection (severe, life-threatening, or fatal) was higher in the TCD arm (28%) compared with the M/C arm (17%) (P = .02). B, Three-year survival in patients who developed a serious CMV infection was 26% in the TCD arm versus 43% in the M/C arm (P = .09). C, Among CMV-seropositive recipients, the likelihood of developing a serious CMV infection was higher in the TCD arm (0.53) compared with the M/C arm (0.33) (P = .04).

  • Image Result
    Aspergillosis. A, Survival by treatment and presence of a serious fungal infection. B, The likelihood of developing aspergillosis (life-threatening or fatal) by 3 years posttransplantation was greater

    Aspergillosis. A, Survival by treatment and presence of a serious fungal infection. B, The likelihood of developing aspergillosis (life-threatening or fatal) by 3 years posttransplantation was greater in the TCD arm (0.16) compared with the M/C arm (0.07) (P < .01).

PII: S1083-8791(07)00440-5

doi: 10.1016/j.bbmt.2007.08.049

Biology of Blood and Marrow Transplantation
Volume 13, Issue 12 , Pages 1487-1498 , December 2007