Case report:Maribavir for refractory CMV infection in 2 pediatric HSCT recipients.
ShuWen Huang, Heng OuYang, ZhiTing Zhang et al.
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Case in brief
Two pediatric patients with refractory cytomegalovirus (CMV) infection post-hematopoietic stem cell transplantation (HSCT) were treated with maribavir after conventional therapies failed. The first case involved concurrent CMV and Epstein-Barr virus activation with severe hepatic impairment, while the second progressed to CMV encephalitis. Both patients achieved favorable clinical outcomes with maribavir, demonstrating its potential efficacy and tolerability.
Diagnostic / clinical pearl
Maribavir may be a viable salvage therapy for pediatric patients with refractory CMV infections post-HSCT, especially when conventional antiviral treatments are ineffective.