Título : |
Fever after peripheral blood stem cell infusion in haploidentical transplantation with post-transplant cyclophosphamide |
Tipo de documento : |
documento electrónico |
Autores : |
Marcos Arango Barrientos, ; Juan Felipe Combariza Vallejo, |
Fecha de publicación : |
2017 |
Títulos uniformes : |
Hematology/Oncology and Stem Cell Therapy
|
Idioma : |
Inglés (eng) |
Palabras clave : |
Cyclophosphamide fever haploidentical hematopoietic stem cell transplantation peripheral blood stem cell transplantation prognosis |
Resumen : |
Objective/background: Noninfection-related fever can occur after peripheral blood stem cell infusion in haploidentical hematopoietic stem cell transplantation with post-transplant cyclophosphamide. The objective of this study was to analyze the incidence of fever and characterize some clinical features of affected patients. Methods: A retrospective case-series study with 40 patients who received haploidentical hematopoietic stem cell transplantation was carried out. Results Thirty-three patients (82.5%) developed fever; no baseline characteristic was associated with its development. Median time to fever onset was 25.5 h (range, 9.5–100 h) and median peak temperature was 39.0 °C (range, 38.1–40.5 °C). Not a single patient developed hemodynamic or respiratory compromise that required admission to the intensive care unit. Fever was not explained by infection in any case. Ninety-one percent of the febrile episodes resolved within 96 h of cyclophosphamide administration. No significant difference in overall survival, event-free survival, or graft versus host disease-free/relapse-free survival was found in the group of febrile individuals after peripheral blood stem cell infusion. Conclusion: Fever after peripheral blood stem cell infusion in this clinical setting was common; it usually subsides with cyclophosphamide administration. The development of fever was not associated with an adverse prognosis. |
Mención de responsabilidad : |
Marcos Arango, Juan F Combariza |
Referencia : |
Hematol Oncol Stem Cell Ther. 2017 Jun;10(2):79-84. |
DOI (Digital Object Identifier) : |
10.1016/j.hemonc.2017.03.001 |
PMID : |
28390959 |
En línea : |
https://linkinghub.elsevier.com/retrieve/pii/S1658-3876(17)30031-6 |
Enlace permanente : |
https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis |