Comparison of two methods used for monitoring low-copy cytomegalovirus infection in a patient with chronic myeloid leukemia after unrelated umbilical cord blood transplantation

Introduction: Detection of human cytomegalovirus (CMV, HHV-5) DNA in clinical specimens is considered a cornerstone in the diagnosis of HHV-5 disease. The present study compared two quantitative methods used for diagnosing cytomegalovirus infection in a 21-year-old woman with chronic myeloid leukemi...

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Veröffentlicht in:Archivum Immunologiae et Therapiae Experimentalis 2007-06, Vol.55 (3), p.199-203
Hauptverfasser: Dzieciątkowski, Tomasz, Przybylski, Maciej, Tomaszewska, Agnieszka, Rokicka, Małgorzata, Łuczak, Mirosław
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container_issue 3
container_start_page 199
container_title Archivum Immunologiae et Therapiae Experimentalis
container_volume 55
creator Dzieciątkowski, Tomasz
Przybylski, Maciej
Tomaszewska, Agnieszka
Rokicka, Małgorzata
Łuczak, Mirosław
description Introduction: Detection of human cytomegalovirus (CMV, HHV-5) DNA in clinical specimens is considered a cornerstone in the diagnosis of HHV-5 disease. The present study compared two quantitative methods used for diagnosing cytomegalovirus infection in a 21-year-old woman with chronic myeloid leukemia after an unrelated umbilical cord blood transplantation. Materials and Methods: Blood samples were tested for the presence of HHV-5 DNA using the LightCycler PCR, the quantitative Eclipse® CMV DNA Detection Kit, and a qualitative in-house PCR assay using primers that amplify part of the HHV-5 MIE gene. Results: Results from samples containing a low cytomegalovirus load were more accurate with the LightCycler test than those obtained with the Eclipse® test, which underestimated the viral load of samples containing low DNA copy numbers. Conclusions: These findings underline the value of novel PCR methods used in current therapeutic procedures and in monitoring antiviral therapy with nucleoside analogs. The high level of sensitivity, specificity, accuracy, and rapidity provided by the LightCycler instrument are favorable for the use of this system in the detection of HHV-5 DNA in clinical specimens.
doi_str_mv 10.1007/s00005-007-0019-5
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subjects Adult
Antiviral agents
Antiviral Agents - therapeutic use
Chronic infection
Chronic myeloid leukemia
Cord blood
Cord Blood Stem Cell Transplantation
Cytomegalovirus
Cytomegalovirus - isolation & purification
cytomegalovirus infection
Cytomegalovirus Infections - blood
Cytomegalovirus Infections - complications
Cytomegalovirus Infections - drug therapy
Cytomegalovirus Infections - virology
Deoxyribonucleic acid
DNA
DNA, Viral - blood
Female
Humans
Leukemia
Leukemia, Myeloid, Chronic-Phase - blood
Leukemia, Myeloid, Chronic-Phase - complications
Leukemia, Myeloid, Chronic-Phase - therapy
Medical research
Microbiology
Myeloid leukemia
Nucleoside analogs
Polymerase Chain Reaction
real-time PCR
Sensitivity and Specificity
Short Communication
Transplantation
Umbilical cord
umbilical cord blood transplantation
title Comparison of two methods used for monitoring low-copy cytomegalovirus infection in a patient with chronic myeloid leukemia after unrelated umbilical cord blood transplantation
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