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Infectious agent most commonly responsible for disease in BMT
Cytomegalovirus
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Increased risk of Graft vs Host Disease when this is mismatched
HLA Type II
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BMT Patient presents with shortness of breath, pleuritic chest pain and fever post-transplantation
Invasive Aspergillosis
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Preferred BMT treatment method for lymphoma or solid tumours
Autologous Transplantation
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Immunosuppressive agent used post-transplant
Prednisolone
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The type of transplantation where the persons own cells are used to be transplanted
Autologous
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The type of transplantation where another person of the same species are used for the transplant.
Allogeneic
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The type of transplantation done where grafts of animals are used for the transplant
Xenographic
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The process where chemotherapy and irradiation are given to eradicate the patients disease prior to the infusion of haematopoetic stem cells.
Myeloablative allogeneic transplants
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The patient is at higher risk of this after Haematopoetic stem cell transplantation
Oral Carcinoma
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50 year old patient with diffuse large B cell lymphoma relapses after R-CHOP.
Autologous stem cell transplant
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A 60 year old woman undergoing preparation for allogeneic stem cell transplant show signs of diarrhoea and pancreatitis. What is the most likely cause?
Total body irradiation
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A 3 year old girl has just been diagnosed with Fanconi’s anaemia, what is the best long term treatment for her?
Allogeneic stem cell transplant
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Primary therapy for GVHD.
Corticosteroids
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Patient due to undergo allogeneic stem cell transplant requires GVHD prophylaxis.
Methotrexate + ciclosporin
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A type of organ transplantation between different species
Xenograft
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5 yo patient with AML was treated with bone marrow transplant, a few day later presents with skin rash, nausea, vomiting, abdominal pain and jaundice.
Graft Vs host disease
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One day after kidney transplant, blood test shows increased creatinine, biopsy shows infiltrations of phagocytes, T cells, B cells and NK cells
Acute cellular reaction
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An organ transplant where HLA matching is used to allocate donor
Allograft
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A type of transplant in which HLA matching is not important
Allograft
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This is a common complication occurring after a stem cell or bone marrow transplantation. The intensity of this condition is related to the degree of HLA-incompatibility.
Graft-versus-host effect
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The major mechanism involved in this immune reaction is the activation of the classical complement pathway by the antigen-antibody complex, leading to formation of the MAC (membrane attack complex).
Antibody mediated rejection
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A patient with blood group B receives a kidney transplant from a donor with blood group A. What immune reaction is likely to ensue?
Antibody mediated rejection
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In this Type IV hypersensitivity response, graft function will be compromised and often it is associated with pain over the graft and fever.
T-cell mediated rejection