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Management of Cytomegalovirus Infections in the Era of the Novel Antiviral Players, Letermovir and Maribavir.


ABSTRACT: Cytomegalovirus (CMV) infections may increase morbidity and mortality in immunocompromised patients. Until recently, standard antiviral drugs against CMV were limited to viral DNA polymerase inhibitors (val)ganciclovir, foscarnet and cidofovir with a risk for cross-resistance. These drugs may also cause serious side effects. This narrative review provides an update on new antiviral agents that were approved for the prevention and treatment of CMV infections in transplant recipients. Letermovir was approved in 2017 for CMV prophylaxis in CMV-seropositive adults who received an allogeneic hematopoietic stem cell transplant. Maribavir followed four years later, with an indication in the treatment of adult and pediatric transplant patients with refractory/resistant CMV disease. The target of l

SUBMITTER: Piret J 

PROVIDER: S-EPMC10801527 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature