A fatal case of acute HHV-6 myocarditis following allogeneic haemopoietic stem cell transplantation

Waukesha, WI, The November issue of the Journal of Clinical Virology (J Clin Virol. 2015 Nov; 72:82-4. doi: 10.1016/j.jcv.2015.09.013. Epub 2015 Oct 9) reports the first fatal case of biopsy-proven HHV-6 myocarditis post stem cell transplant. Dr. David Baewer, Chief Medical Officer at Coppe Laboratories co-authored the paper with colleagues from Sydney, Australia.

cardiomyocytes 5_b

HHV-6 in cardiac myocytes

The publication reports the case of a 62-year old patient who underwent a matched, unrelated hematopoietic stem cell transplant. On day +13 the patient experienced cardiac failure.  Treatment with diuretics, analgesic, and IV antibiotics failed to improve cardiac function.  Despite growth factors and platelet transfusions the patient remained pancytopenic.  HHV-6 DNA PCR was positive on peripheral blood with a low copy number (<200 copies/mL).  Dilated cardiomyopathy and focal changes consistent with viral myocarditis were noted on post-mortem exam.  Coppe Laboratories performed immunohistochemical staining on the cardiac tissue. Results indicated HHV-6 antigen in the cardiomyocytes.

This is the first publication of HHV-6 immunohistochemistry showing active HHV-6 infection in a heart biopsy of a stem cell transplant patient with fatal myocarditis. “HHV-6 is an opportunistic pathogen that can reactivate and cause a range of clinical symptoms in immunocompromised individuals,” said Dr. David Baewer, Chief Medical Officer of Coppe Laboratories.  HHV-6 is treatable with antiviral therapy.  This case illustrates the importance of recognizing the spectrum of organ damage that can result from reactivation of HHV-6 and the utility of immunohistochemistry staining to determine active HHV-6 infection.  The picture (left) shows HHV-6 (red inclusions) in the cardiac myocytes.

 


About Coppe Laboratories – www.coppelabs.com

Coppe Laboratories, headquartered in Waukesha, Wisconsin, is a CLIA-certified diagnostic reference laboratory that provides specialty testing with an emphasis on infectious agents in acute and chronic diseases. We are committed to eliminating barriers experienced by physician and patients in the diagnosis of disease through scientific research and innovative diagnostic assays. Providing physicians and their patients with accurate, high quality, and clinically relevant results in a timely fashion is their goal.

Coppe Laboratories is a wholly owned subsidiary of Coppe Healthcare Solutions, which uses scientific expertise to transform novel procedures routinely used in research into validated clinical diagnostic tests for acute and chronic illnesses.

About Coppe Laboratories

Coppe Laboratories is dedicated to discovering and providing diagnostic and treatment solutions for illnesses caused by infectious agents. We offer quality diagnostic testing that exceeds regulatory expectations and provides clear answers with actionable results.

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