Temporal and spatial compartmentalization of drug-resistant cytomegalovirus (CMV) in a child with CMV meningoencephalitis: implications for sampling in molecular diagnosis

J Clin Microbiol. 2013 Dec;51(12):4266-9. doi: 10.1128/JCM.02411-13. Epub 2013 Oct 9.

Abstract

We describe a case of antiviral-resistant cytomegalovirus meningoencephalitis occurring after hematopoietic stem cell transplantation. Antiviral-resistant cytomegalovirus was identified in blood 16 months earlier. However, wild-type cytomegalovirus was evidenced in blood when the meningoencephalitis was diagnosed. Treatment of meningoencephalitis should be adapted to all previously identified resistance mutations in any compartment.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amino Acid Substitution
  • Antiviral Agents / pharmacology*
  • Blood / virology
  • Cytomegalovirus / drug effects
  • Cytomegalovirus / isolation & purification*
  • Cytomegalovirus Infections / diagnosis*
  • Cytomegalovirus Infections / virology*
  • DNA, Viral / genetics
  • Drug Resistance, Viral*
  • Hematopoietic Stem Cell Transplantation / adverse effects
  • Humans
  • Infant
  • Male
  • Meningoencephalitis / diagnosis*
  • Meningoencephalitis / virology*
  • Polymerase Chain Reaction
  • Time Factors
  • Viral Proteins / genetics

Substances

  • Antiviral Agents
  • DNA, Viral
  • Viral Proteins