Progressive multifocal encephalopathy in a patient with non-Hodgkin follicular lymphoma

Summary. Progressive multifocal leukoencephalopathy (PML) is a rare and often fatal demyelinating disease of the central nervous system caused by John Cunningham virus (JCV). We present a case report of patient with non-Hodgkin follicular lymphoma, who developed PML after hematopoietic stem cell tra...

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Datum:2023
Hauptverfasser: Trociukas, I., Zirnis, A.E., Beļajeva, L., Rivkina, A., Lejniece, S.
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Sprache:English
Veröffentlicht: PH Akademperiodyka 2023
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Online Zugang:https://exp-oncology.com.ua/index.php/Exp/article/view/2020-3-19
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spelling oai:ojs2.ex.aqua-time.com.ua:article-1822023-10-11T16:43:26Z Progressive multifocal encephalopathy in a patient with non-Hodgkin follicular lymphoma Progressive multifocal encephalopathy in a patient with non-Hodgkin follicular lymphoma Trociukas, I. Zirnis, A.E. Beļajeva, L. Rivkina, A. Lejniece, S. follicular lymphoma, hematopoietic stem cell transplantation, JC polyomavirus, progressive multifocal leukoencephalopathy, rituximab-bendamustine follicular lymphoma, hematopoietic stem cell transplantation, JC polyomavirus, progressive multifocal leukoencephalopathy, rituximab-bendamustine Summary. Progressive multifocal leukoencephalopathy (PML) is a rare and often fatal demyelinating disease of the central nervous system caused by John Cunningham virus (JCV). We present a case report of patient with non-Hodgkin follicular lymphoma, who developed PML after hematopoietic stem cell transplantation and rituximab-bendamustine therapy. JCV DNA was proven both in peripheral blood and cerebrospinal fluid. Patient with 4 years history of follicular lymphoma presented with progressing weakness in the right arm and leg and postural instability. Magnetic resonance imaging scans showed bilateral hyperintense lesions in the cerebellum and centrum semiovale consistent with findings in PML. JCV DNA was detected in patient peripheral blood and cerebrospinal fluid by real time polymerase chain reaction assay in CERBA laboratory (France). Human herpes simplex 6 and 7 DNA were also detected in peripheral blood by PCR. Patients condition rapidly deteriorated with exitus letalis after 3 months and 2 weeks from onset of symptoms. This case draws attention to risk for developing PML in patients with long-standing hematological malignancies. Summary. Progressive multifocal leukoencephalopathy (PML) is a rare and often fatal demyelinating disease of the central nervous system caused by John Cunningham virus (JCV). We present a case report of patient with non-Hodgkin follicular lymphoma, who developed PML after hematopoietic stem cell transplantation and rituximab-bendamustine therapy. JCV DNA was proven both in peripheral blood and cerebrospinal fluid. Patient with 4 years history of follicular lymphoma presented with progressing weakness in the right arm and leg and postural instability. Magnetic resonance imaging scans showed bilateral hyperintense lesions in the cerebellum and centrum semiovale consistent with findings in PML. JCV DNA was detected in patient peripheral blood and cerebrospinal fluid by real time polymerase chain reaction assay in CERBA laboratory (France). Human herpes simplex 6 and 7 DNA were also detected in peripheral blood by PCR. Patients condition rapidly deteriorated with exitus letalis after 3 months and 2 weeks from onset of symptoms. This case draws attention to risk for developing PML in patients with long-standing hematological malignancies. PH Akademperiodyka 2023-05-31 Article Article application/pdf https://exp-oncology.com.ua/index.php/Exp/article/view/2020-3-19 10.32471/exp-oncology.2312-8852.vol-42-no-3.15198 Experimental Oncology; Vol. 42 No. 3 (2020): Experimental Oncology; 238-241 Експериментальна онкологія; Том 42 № 3 (2020): Експериментальна онкологія; 238-241 2312-8852 1812-9269 10.32471/exp-oncology.2312-8852.vol-42-no-3 en https://exp-oncology.com.ua/index.php/Exp/article/view/2020-3-19/2020-3-19 Copyright (c) 2023 Experimental Oncology https://creativecommons.org/licenses/by-nc/4.0/
institution Experimental Oncology
baseUrl_str
datestamp_date 2023-10-11T16:43:26Z
collection OJS
language English
topic follicular lymphoma
hematopoietic stem cell transplantation
JC polyomavirus
progressive multifocal leukoencephalopathy
rituximab-bendamustine
spellingShingle follicular lymphoma
hematopoietic stem cell transplantation
JC polyomavirus
progressive multifocal leukoencephalopathy
rituximab-bendamustine
Trociukas, I.
Zirnis, A.E.
Beļajeva, L.
Rivkina, A.
Lejniece, S.
Progressive multifocal encephalopathy in a patient with non-Hodgkin follicular lymphoma
topic_facet follicular lymphoma
hematopoietic stem cell transplantation
JC polyomavirus
progressive multifocal leukoencephalopathy
rituximab-bendamustine
follicular lymphoma
hematopoietic stem cell transplantation
JC polyomavirus
progressive multifocal leukoencephalopathy
rituximab-bendamustine
format Article
author Trociukas, I.
Zirnis, A.E.
Beļajeva, L.
Rivkina, A.
Lejniece, S.
author_facet Trociukas, I.
Zirnis, A.E.
Beļajeva, L.
Rivkina, A.
Lejniece, S.
author_sort Trociukas, I.
title Progressive multifocal encephalopathy in a patient with non-Hodgkin follicular lymphoma
title_short Progressive multifocal encephalopathy in a patient with non-Hodgkin follicular lymphoma
title_full Progressive multifocal encephalopathy in a patient with non-Hodgkin follicular lymphoma
title_fullStr Progressive multifocal encephalopathy in a patient with non-Hodgkin follicular lymphoma
title_full_unstemmed Progressive multifocal encephalopathy in a patient with non-Hodgkin follicular lymphoma
title_sort progressive multifocal encephalopathy in a patient with non-hodgkin follicular lymphoma
title_alt Progressive multifocal encephalopathy in a patient with non-Hodgkin follicular lymphoma
description Summary. Progressive multifocal leukoencephalopathy (PML) is a rare and often fatal demyelinating disease of the central nervous system caused by John Cunningham virus (JCV). We present a case report of patient with non-Hodgkin follicular lymphoma, who developed PML after hematopoietic stem cell transplantation and rituximab-bendamustine therapy. JCV DNA was proven both in peripheral blood and cerebrospinal fluid. Patient with 4 years history of follicular lymphoma presented with progressing weakness in the right arm and leg and postural instability. Magnetic resonance imaging scans showed bilateral hyperintense lesions in the cerebellum and centrum semiovale consistent with findings in PML. JCV DNA was detected in patient peripheral blood and cerebrospinal fluid by real time polymerase chain reaction assay in CERBA laboratory (France). Human herpes simplex 6 and 7 DNA were also detected in peripheral blood by PCR. Patients condition rapidly deteriorated with exitus letalis after 3 months and 2 weeks from onset of symptoms. This case draws attention to risk for developing PML in patients with long-standing hematological malignancies.
publisher PH Akademperiodyka
publishDate 2023
url https://exp-oncology.com.ua/index.php/Exp/article/view/2020-3-19
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AT rivkinaa progressivemultifocalencephalopathyinapatientwithnonhodgkinfollicularlymphoma
AT lejnieces progressivemultifocalencephalopathyinapatientwithnonhodgkinfollicularlymphoma
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