Literature DB >> 32860509

Seasonal Human Coronavirus Respiratory Tract Infection in Recipients of Allogeneic Hematopoietic Stem Cell Transplantation.

Jose Luis Piñana1,2, Aliénor Xhaard3, Gloria Tridello4, Jakob Passweg5, Anne Kozijn6, Nicola Polverelli7, Inmaculada Heras8, Ariadna Perez9, Jaime Sanz1,2, Dagmar Berghuis10, Lourdes Vázquez11, María Suárez-Lledó12, Maija Itäla-Remes13, Tulay Ozcelik14, Isabel Iturrate Basarán15, Musa Karakukcu16, Mohsen Al Zahrani17, Goda Choi18, Marián Angeles Cuesta Casas19, Montserrat Batlle Massana20, Amato Viviana21, Nicole Blijlevens22, Arnold Ganser23, Baris Kuskonmaz24, Hélène Labussière-Wallet25, Peter J Shaw26, Zeynep Arzu Yegin27, Marta González-Vicent28, Vanderson Rocha29, Alina Ferster30, Nina Knelange3, David Navarro8, Malgorzata Mikulska31, Rafael de la Camara15, Jan Styczynski32.   

Abstract

BACKGROUND: Little is known about characteristics of seasonal human coronaviruses (HCoVs) (NL63, 229E, OC43, and HKU1) after allogeneic stem cell transplantation (allo-HSCT).
METHODS: This was a collaborative Spanish and European bone marrow transplantation retrospective multicenter study, which included allo-HSCT recipients (adults and children) with upper respiratory tract disease (URTD) and/or lower respiratory tract disease (LRTD) caused by seasonal HCoV diagnosed through multiplex polymerase chain reaction assays from January 2012 to January 2019.
RESULTS: We included 402 allo-HSCT recipients who developed 449 HCoV URTD/LRTD episodes. Median age of recipients was 46 years (range, 0.3-73.8 years). HCoV episodes were diagnosed at a median of 222 days after transplantation. The most common HCoV subtype was OC43 (n = 170 [38%]). LRTD involvement occurred in 121 episodes (27%). HCoV infection frequently required hospitalization (18%), oxygen administration (13%), and intensive care unit (ICU) admission (3%). Three-month overall mortality after HCoV detection was 7% in the whole cohort and 16% in those with LRTD. We identified 3 conditions associated with higher mortality in recipients with LRTD: absolute lymphocyte count <0.1 × 109/mL, corticosteroid use, and ICU admission (hazard ratios: 10.8, 4.68, and 8.22, respectively; P < .01).
CONCLUSIONS: Seasonal HCoV after allo-HSCT may involve LRTD in many instances, leading to a significant morbidity.
© The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.

Entities:  

Keywords:  seasonal human coronavirus; HCoV-229E; HCoV-HKU1; HCoV-NL63; HCoV-OC43; allogeneic hematopoietic stem cell transplantation; community-acquired respiratory virus; immunocompromised; immunodeficiency score index; multiplex PCR assay; upper and lower respiratory tract disease

Year:  2021        PMID: 32860509      PMCID: PMC7499673          DOI: 10.1093/infdis/jiaa553

Source DB:  PubMed          Journal:  J Infect Dis        ISSN: 0022-1899            Impact factor:   5.226


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5.  Rhinovirus Infections among Hematopoietic Stem Cell Transplant Recipients: A Pre-Transplant Dilemma?

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7.  Complicated pulmonary human coronavirus-NL63 infection after a second allogeneic hematopoietic stem cell transplantation for acute B-lymphocytic leukemia: A case report.

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