Post-Liver Transplant Cytomegalovirus (CMV) Reactivation, Graft, and Patient Survival Rates in Iranian Population
| Author | Marzieh Jamalidoust | en |
| Author | Mandana Namayandeh | en |
| Author | Gholamreza Pouladfar | en |
| Author | Mazyar Ziyaeyan | en |
| Orcid | Marzieh Jamalidoust [0000-0002-7034-1236] | en |
| Orcid | Mandana Namayandeh [0000-0002-8350-9886] | en |
| Orcid | Mazyar Ziyaeyan [0000-0001-9371-7518] | en |
| Issued Date | 2021-03-31 | en |
| Abstract | Background: Human cytomegalovirus (CMV) is the major complication of viral infection in immunocompromised patients. This opportunistic infection is associated with high morbidity and mortality in transplanted recipients. Objectives: The present study aimed to determine CMV burden and assess the clinical outcome in the liver recipients with CMV reactivated infection at Nemazi Hospital, Shiraz, Iran. Methods: This retrospective study examined 657 patients who underwent liver transplantation during 2014 - 2017 to identify the CMV infection, morbidity, and mortality rates. To this end, the medical records of such patients were reviewed, and their rejection/survival rates were analyzed. Accordingly, the CMV infection was diagnosed by Taq-Man real-time PCR assays. Results: In this study, 151 (23%) had CMV reactivation at least one year after liver transplantation. Viremic patients had a viral burden between 300 - 738790 copies/mL. In this study, 41 persons (6.2%) died, and 58 liver transplant patients (8.8%) had rejection experience up to one year after their operation. Among the 41 dead patients, 21 and 20 cases were with and without CMV-reactivation, respectively. The results demonstrated that the mortality rate was significantly higher in the CMV-infected patients than the non-CMV-infected counterparts. In contrast, the graft survival rate was not significantly different between the two groups (P ≤ 0.05). Conclusions: In the present study, CMV infection can serve as a significant mortality predictor in LT patients. | en |
| DOI | https://doi.org/10.5812/jjm.112775 | en |
| Keyword | Cytomegalovirus | en |
| Keyword | Liver/Transplantation | en |
| Keyword | Quantitative PCR Assay | en |
| Keyword | Survival Rate | en |
| Keyword | Infection | en |
| Keyword | CMV Disease | en |
| Publisher | Brieflands | en |
| Title | Post-Liver Transplant Cytomegalovirus (CMV) Reactivation, Graft, and Patient Survival Rates in Iranian Population | en |
| Type | Research Article | en |
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