Hyperimmune immunoglobulin therapy for cytomegalovirus infections in renal transplant patients.

C B Brown, A J Nicholls, N Edward, B Cuthbertson, P L Yap, D B McClelland
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Abstract

Eleven renal transplant patients with CMV infection have been treated by passive immunisation, one with high-titre anti-CMV plasma and 10 with fractionated hyperimmune anti-CMV immunoglobulin. All were pyrexial for at least seven days before treatment with typical clinical and laboratory features of CMV infection. Seven of the 11 patients treated showed a striking and sustained response within 24-48 hours of therapy, with lysis of fever, resolution of pneumonitis, a rise in white cell count and improvement in renal function and liver function tests.

肾移植患者巨细胞病毒感染的超免疫免疫球蛋白治疗。
11例接受肾移植的巨细胞病毒感染患者采用被动免疫治疗,1例采用高滴度抗巨细胞病毒血浆,10例采用分级高免疫抗巨细胞病毒免疫球蛋白。所有患者在治疗前至少7天发热,具有典型的巨细胞病毒感染的临床和实验室特征。在接受治疗的11名患者中,有7名患者在治疗后24-48小时内出现了显著且持续的反应,包括发热消退、肺炎消退、白细胞计数上升以及肾功能和肝功能检查的改善。
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