Viral infections in immunocompromised patients.
Viral infections in immunocompromised patients.
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DOI:
10.1016/j.bbmt.2010.11.008
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发表时间:
2011-01
影响因子:
4.3
通讯作者:
Ljungman, Per
中科院分区:
文献类型:
--
作者:
Englund, Janet;Feuchtinger, Tobias;Ljungman, Per
Viruses that cause acute respiratory illness in the general population and are responsible for hospitalizations in persons of all ages with underlying medical conditions are also a common cause of respiratory disease in transplant recipients. With the widespread availability of sensitive and reliable molecular detection methods, common respiratory viruses including respiratory syncytial virus (RSV), influenza and parainfluenza viruses (PIVs), adenoviruses, rhinoviruses (RhV), and coronaviruses have been detected worldwide in transplant recipients. More recently, newly identified viruses such as human metapneumoviruses (HMPV)[1, 2], new strains of coronaviruses [3], and bocavirus have also been detected in symptomatic transplant recipients [4].Community-acquired respiratory viruses (CRV) have a significant impact on the morbidity and mortality of the transplant recipient, causing a variety of diseases ranging from self-limited upper respiratory tract illnesses (URIs) to life-threatening lower respiratory tract infection (LRTI) and occasionally disseminated disease. Disease manifestations are dependent on the specific virus, the type of transplant, and the type, degree, and duration of immune deficiency. Pneumonia following infection with these viruses may be primarily viral, bacterial, fungal, or mixed in origin. Some
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