Summary:
We report a 19-year-old man with extranodal natural killer (NK)/T cell lymphoma, nasal type treated by allogeneic peripheral blood stem cell transplantation (allo-PBSCT). His lymphoma was chemoresistant, and disseminated during local radiotherapy. The patient received allo-PBSCT from his HLA-1 locus mismatched sister using busulfan (BU), cyclophosphamide (CY) and VP-16 as the conditioning regimen. His course was complicated by esophageal actinomycosis 9 months after transplantation, which resulted in the rupture of the right common carotid artery. These observations suggest that actinomycosis should be monitored carefully after transplantation in patients who have received local radiation therapy before the procedure.
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Acknowledgements
We thank Dr Takayuki Okamura, Dr Emiko Satou and Dr Keisei Kawa (Department of Pediatrics, Osaka Medical Center and Research Institute for Maternal and Child Health) for performing the PCR analysis of EBV.
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Yagi, T., Fujino, H., Hirai, M. et al. Esophageal actinomycosis after allogeneic peripheral blood stem cell transplantation for extranodal natural killer/T cell lymphoma, nasal type. Bone Marrow Transplant 32, 451–453 (2003). https://doi.org/10.1038/sj.bmt.1704161
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DOI: https://doi.org/10.1038/sj.bmt.1704161