Herpes zoster in patients with glioma treated with temozolomide.

Glioma Herpes zoster Temozolomide

Journal

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
ISSN: 1532-2653
Titre abrégé: J Clin Neurosci
Pays: Scotland
ID NLM: 9433352

Informations de publication

Date de publication:
01 Sep 2024
Historique:
received: 26 06 2024
revised: 16 08 2024
accepted: 25 08 2024
medline: 3 9 2024
pubmed: 3 9 2024
entrez: 2 9 2024
Statut: aheadofprint

Résumé

The risk of herpes zoster in patients treated with temozolomide is poorly defined in the literature. We aimed to evaluate the incidence of and risk factors for herpes zoster in individuals receiving temozolomide for glioma. A retrospective observational study was conducted on a series of patients treated with temozolomide for glioma at a single centre between 1 October 2018 and 30 September 2023. 131 patients were treated with temozolomide for glioma with a median age of 55 years. 4 out of 131 patients (3.1 %) developed herpes zoster during temozolomide treatment. All cases of herpes zoster occurred in patients who had lymphocyte nadirs of less than 0.7 x 10 Use of temozolomide, particularly in conjunction with lymphopaenia or corticosteroid use, poses a risk of herpes zoster. Further research into the benefits of prophylactic antiviral measures in this population is recommended.

Sections du résumé

BACKGROUND BACKGROUND
The risk of herpes zoster in patients treated with temozolomide is poorly defined in the literature. We aimed to evaluate the incidence of and risk factors for herpes zoster in individuals receiving temozolomide for glioma.
METHODS METHODS
A retrospective observational study was conducted on a series of patients treated with temozolomide for glioma at a single centre between 1 October 2018 and 30 September 2023.
RESULTS RESULTS
131 patients were treated with temozolomide for glioma with a median age of 55 years. 4 out of 131 patients (3.1 %) developed herpes zoster during temozolomide treatment. All cases of herpes zoster occurred in patients who had lymphocyte nadirs of less than 0.7 x 10
CONCLUSION CONCLUSIONS
Use of temozolomide, particularly in conjunction with lymphopaenia or corticosteroid use, poses a risk of herpes zoster. Further research into the benefits of prophylactic antiviral measures in this population is recommended.

Identifiants

pubmed: 39222582
pii: S0967-5868(24)00355-2
doi: 10.1016/j.jocn.2024.110816
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

110816

Informations de copyright

Copyright © 2024 Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Auteurs

Alison Hiong (A)

Department of Oncology, Alfred Health, Melbourne, Victoria, Australia.

Adam H Lapidus (AH)

Department of Oncology, Alfred Health, Melbourne, Victoria, Australia.

Lucy Gately (L)

Department of Oncology, Alfred Health, Melbourne, Victoria, Australia.

Grace Sinclair (G)

Department of Oncology, Alfred Health, Melbourne, Victoria, Australia.

Malaka Ameratunga (M)

Department of Oncology, Alfred Health, Melbourne, Victoria, Australia; School of Translational Medicine, Monash University, Melbourne, Victoria, Australia. Electronic address: malaka.ameratunga@monash.edu.

Classifications MeSH