Value of serum C-reactive protein measurement in the management of bone marrow transplant recipients. Part II: Late post-transplant period.
Seventeen bone marrow recipients transplanted for acute leukaemia (8), chronic leukaemia (1), severe aplastic anaemia (3), and various inborn errors of metabolism (5) had 22 episodes of documented infection in the late (greater than 3 months) post-transplant period. Serum C-reactive protein concentrations were considerably increased in patients with bacterial infections, but not in those with viral or fungal infections. Serum C-reactive protein values were normal in 20 patients transplanted for acute leukaemia (12), chronic leukaemia (1), severe aplastic anaemia (2), and various inborn errors of metabolism (5) who had active chronic graft versus host disease but no evidence of infection. These findings indicate that serum C-reactive protein concentrations are useful in the diagnosis and monitoring of bacterial infections even in the presence of chronic graft versus host disease.
D001424:Bacterial Infections / Q000175:diagnosis; D016026:Bone Marrow Transplantation; D002097:C-Reactive Protein / Q000032:analysis*; D002908:Chronic Disease; D006086:Graft vs Host Disease / Q000175:diagnosis*; D006801:Humans; D007239:Infections / Q000175:diagnosis*; D009181:Mycoses / Q000175:diagnosis; D013997:Time Factors; D014777:Virus Diseases / Q000175:diagnosis
D002097:C-Reactive Protein