PMID- 27459097 OWN - NLM STAT- MEDLINE DCOM- 20170804 LR - 20181202 IS - 1399-3062 (Electronic) IS - 1398-2273 (Linking) VI - 18 IP - 5 DP - 2016 Oct TI - Viral load and ganciclovir (GCV) concentration in cerebrospinal fluid of patients successfully treated with GCV or valGCV for human herpesvirus 6 encephalitis/myelitis following umbilical cord blood transplantation. PG - 773-776 LID - 10.1111/tid.12579 [doi] AB - We describe successful treatment of 3 cases of human herpesvirus 6 (HHV-6) encephalitis/myelitis following cord blood transplantation (CBT). Ganciclovir (GCV) (10 mg/kg/day) reduced HHV-6 load to undetectable levels in cerebrospinal fluid (CSF). Early dose reduction in the presence of HHV-6 detectable in CSF resulted in an increased HHV-6 load. GCV was capably shifted to valganciclovir (VGCV) with an almost equivalent concentration. GCV/VGCV may be effective for HHV-6 encephalitis/myelitis after CBT, although HHV-6 load in CSF should be monitored. CI - (c) 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Morita, D AU - Morita D AD - Department of Pediatrics, Shinshu University School of Medicine, Matsumoto, Japan. FAU - Hirabayashi, K AU - Hirabayashi K AD - Department of Pediatrics, Shinshu University School of Medicine, Matsumoto, Japan. FAU - Katsuyama, Y AU - Katsuyama Y AD - Department of Pharmacy, Shinshu University Hospital, Matsumoto, Japan. FAU - Morokawa, H AU - Morokawa H AD - Department of Pediatrics, Shinshu University School of Medicine, Matsumoto, Japan. FAU - Motobayashi, M AU - Motobayashi M AD - Department of Pediatrics, Shinshu University School of Medicine, Matsumoto, Japan. FAU - Kurata, T AU - Kurata T AD - Department of Pediatrics, Shinshu University School of Medicine, Matsumoto, Japan. FAU - Shigemura, T AU - Shigemura T AD - Department of Pediatrics, Shinshu University School of Medicine, Matsumoto, Japan. FAU - Tanaka, M AU - Tanaka M AD - Department of Pediatrics, Shinshu University School of Medicine, Matsumoto, Japan. FAU - Inaba, Y AU - Inaba Y AD - Department of Pediatrics, Shinshu University School of Medicine, Matsumoto, Japan. FAU - Koike, K AU - Koike K AD - Department of Pediatrics, Shinshu University School of Medicine, Matsumoto, Japan. FAU - Nakazawa, Y AU - Nakazawa Y AD - Department of Pediatrics, Shinshu University School of Medicine, Matsumoto, Japan. yxnakaza@shinshu-u.ac.jp. LA - eng PT - Case Reports PT - Journal Article DEP - 20160907 PL - Denmark TA - Transpl Infect Dis JT - Transplant infectious disease : an official journal of the Transplantation Society JID - 100883688 RN - 0 (Antiviral Agents) RN - 0 (DNA, Viral) RN - 0 (Myeloablative Agonists) RN - GCU97FKN3R (Valganciclovir) RN - P9G3CKZ4P5 (Ganciclovir) RN - Human Herpesvirus 6 encephalitis SB - IM MH - Adult MH - Antiviral Agents/administration & dosage/*therapeutic use MH - Child, Preschool MH - DNA, Viral MH - Encephalitis, Viral/cerebrospinal fluid/*drug therapy/virology MH - Female MH - Fetal Blood MH - Ganciclovir/administration & dosage/analogs & derivatives/therapeutic use MH - Hematopoietic Stem Cell Transplantation/*adverse effects MH - Herpesvirus 6, Human/*isolation & purification MH - Humans MH - Male MH - Myelitis/cerebrospinal fluid/*drug therapy/virology MH - Myeloablative Agonists/adverse effects MH - Roseolovirus Infections/cerebrospinal fluid/*drug therapy/virology MH - Transplantation Conditioning/*adverse effects MH - Treatment Outcome MH - Valganciclovir MH - Viral Load/*drug effects MH - Young Adult OTO - NOTNLM OT - HHV-6 OT - cerebrospinal fluid OT - cord blood transplantation OT - encephalitis OT - ganciclovir OT - valganciclovir EDAT- 2016/07/28 06:00 MHDA- 2017/08/05 06:00 CRDT- 2016/07/27 06:00 PHST- 2016/02/22 00:00 [received] PHST- 2016/03/23 00:00 [revised] PHST- 2016/05/10 00:00 [accepted] PHST- 2016/07/28 06:00 [pubmed] PHST- 2017/08/05 06:00 [medline] PHST- 2016/07/27 06:00 [entrez] AID - 10.1111/tid.12579 [doi] PST - ppublish SO - Transpl Infect Dis. 2016 Oct;18(5):773-776. doi: 10.1111/tid.12579. Epub 2016 Sep 7.