West Nile Virus Encephalitis in Haematological Setting: Report of Two Cases and a Brief Review of the Literature.

CCR5 Chronic Lymphocytic Leukemia Encephalitis West Nile Virus

Journal

Mediterranean journal of hematology and infectious diseases
ISSN: 2035-3006
Titre abrégé: Mediterr J Hematol Infect Dis
Pays: Italy
ID NLM: 101530512

Informations de publication

Date de publication:
2019
Historique:
received: 29 01 2019
accepted: 03 04 2019
entrez: 18 6 2019
pubmed: 18 6 2019
medline: 18 6 2019
Statut: epublish

Résumé

West Nile virus is a zoonotic agent causing life-threatening encephalitis in a proportion of infected patients. Older age, immunosuppression, and mutations in specific host genes (e.g., CCR5 delta-32 mutation) predispose to neuroinvasive infection. We report on two cases of severe West Nile encephalitis in recently-treated, different-aged, chronic lymphocytic leukemia patients. Both patients developed high-grade fever associated with severe neurological impairment. The younger one harboured germ-line CCR5 delta-32 mutation, which might have played a role in the pathogenesis of its neuroinvasive manifestations.

Identifiants

pubmed: 31205637
doi: 10.4084/MJHID.2019.033
pii: mjhid-11-1-e2019033
pmc: PMC6548214
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e2019033

Déclaration de conflit d'intérêts

Competing interests: The authors have declared that no competing interests exist.

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Auteurs

Isacco Ferrarini (I)

Section of Hematology, Cancer Research and Cell Biology Laboratory, Department of Medicine, University of Verona, Verona, Italy.

Antonella Rigo (A)

Section of Hematology, Cancer Research and Cell Biology Laboratory, Department of Medicine, University of Verona, Verona, Italy.

Alberto Gandini (A)

Pediatrics Section, Department of Surgical, Odontostomatological and Maternal-Infantile Sciences, University of Verona, Verona, Italy.

Fabrizio Vinante (F)

Section of Hematology, Cancer Research and Cell Biology Laboratory, Department of Medicine, University of Verona, Verona, Italy.

Classifications MeSH