PMID- 11902311 OWN - NLM STAT- MEDLINE DCOM- 20020422 LR - 20190916 IS - 1077-4114 (Print) IS - 1077-4114 (Linking) VI - 23 IP - 9 DP - 2001 Dec TI - Herpesvirus-6 encephalitis complicated by Wernicke-Korsakoff syndrome in a pediatric recipient of unrelated cord blood transplantation. PG - 626-8 AB - A 10-year-old girl with M2 acute myeloid leukemia underwent an unrelated cord blood transplantation in refractory first relapse. On day +13, after 48 hours with fever, she showed a measles-like rash, and on day +15, she began experiencing neurologic symptoms (headache, tremors, weakness, nystagmus, mild confusion, speaking, taste, and behavior disturbances, and focal seizures). She also had amnesia for recent events with disability to learn, mimicking Wernicke-Korsakoff syndrome. Computed tomography of the brain and cerebrospinal fluid (CSF) and electroencephalogram were nonspecific. We found human herpesvirus 6 (HHV-6) DNA in CSF and cytomegalovirus in bronchoalveolar lavage using polymerase chain reaction techniques. Treatment with ganciclovir and foscarnet was effective, with total resolution of symptoms. FAU - Carvajal, E AU - Carvajal E AD - Unidad de Oncologia Pediatrica, Hospital Infantil La Fe, Valencia, Spain. FAU - Verdeguer, A AU - Verdeguer A FAU - Fernandez, J M AU - Fernandez JM FAU - Canete, A AU - Canete A FAU - Castel, V AU - Castel V LA - eng PT - Case Reports PT - Journal Article PL - United States TA - J Pediatr Hematol Oncol JT - Journal of pediatric hematology/oncology JID - 9505928 RN - 0 (Antiviral Agents) RN - 04079A1RDZ (Cytarabine) RN - 364P9RVW4X (Foscarnet) RN - 6PLQ3CP4P3 (Etoposide) RN - P9G3CKZ4P5 (Ganciclovir) RN - ZS7284E0ZP (Daunorubicin) SB - IM MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Antiviral Agents/therapeutic use MH - Child MH - Combined Modality Therapy MH - Cytarabine/administration & dosage MH - Daunorubicin/administration & dosage MH - Encephalitis, Viral/drug therapy/*etiology MH - Etoposide/administration & dosage MH - Fatal Outcome MH - Female MH - Fetal Blood/cytology MH - Foscarnet/therapeutic use MH - Ganciclovir/therapeutic use MH - Hematopoietic Stem Cell Transplantation/*adverse effects MH - Herpesvirus 6, Human/*isolation & purification/physiology MH - Humans MH - Immunocompromised Host MH - Korsakoff Syndrome/*etiology MH - Leukemia, Myeloid, Acute/*complications/drug therapy/therapy MH - Recurrence MH - Roseolovirus Infections/drug therapy/*etiology MH - Transplantation Conditioning/adverse effects MH - Transplantation, Homologous/adverse effects MH - Virus Activation EDAT- 2002/03/21 10:00 MHDA- 2002/04/23 10:01 CRDT- 2002/03/21 10:00 PHST- 2002/03/21 10:00 [pubmed] PHST- 2002/04/23 10:01 [medline] PHST- 2002/03/21 10:00 [entrez] AID - 10.1097/00043426-200112000-00016 [doi] PST - ppublish SO - J Pediatr Hematol Oncol. 2001 Dec;23(9):626-8. doi: 10.1097/00043426-200112000-00016.