ABSTRACT
Viral infections, including β-herpes viruses and community respiratory viruses, are
frequent pathogens in lung transplant recipients. These pathogens have become increasingly
recognized as having a significant role in long-term outcomes of lung transplantation,
which has been limited by the frequent development of infections, and chronic allograft
dysfunction. Community respiratory viruses, such as influenza and respiratory syncytial
virus have been associated with both acute rejection and chronic allograft dysfunction,
particularly if early treatment was not administered. β-herpes viruses, particularly
cytomegalovirus (CMV), have long been associated with increased mortality in lung
transplant recipients, although the advent of effective antiviral strategies has led
to improved morbidity and mortality. Because these pathogens have been associated
with altered immune responses against the allograft, a better understanding of immunopathogenesis
of viral infections may lead to a broader approach to limit the morbidity from these
pathogens.
KEYWORDS
Lung transplantation - respiratory virus - cytomegalovirus
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John F McDyerM.D.
Johns Hopkins University, 5501 Hopkins Bayview Circle
Rm. 4B51, Baltimore, MD 21224
Email: jmcdyer@jhmi.edu