Viral infections in pediatric brain tumor patients treated with targeted therapies

Lisa Mayr1, Tobias Steinmaurer1, Lukas Weseslindtner2

  • 1Department of Pediatrics and Adolescent Medicine, Comprehensive Cancer Center for Pediatrics, Medical University of Vienna, Vienna, Austria.

Pediatric Blood & Cancer
|October 29, 2022
PubMed
Abstract

Insights

Pediatric brain tumor patients on targeted therapies face a higher risk of viral infections, including respiratory, gastrointestinal, and CNS types. Early detection and treatment are crucial for better outcomes in these immunocompromised children.

Area of Science:

  • Pediatric Oncology
  • Infectious Diseases
  • Molecular Diagnostics

Background:

  • Brain tumors are the leading cause of cancer mortality in children.
  • Limited data exists on viral infections in pediatric brain tumor patients on targeted therapies.
  • Existing research often focuses on hematologic malignancies or solid organ transplant recipients.

Purpose of the Study:

  • To investigate the incidence and outcomes of viral infections in pediatric brain tumor patients receiving targeted therapies.
  • To identify specific types of viral infections and risk factors.
  • To compare infection rates with conventional chemotherapy and the general population.

Main Methods:

  • Retrospective review of pediatric patients with brain tumors treated with targeted therapies (2006-2021).
  • Data collection included demographics, infection parameters (PCR-proven), and treatment outcomes.
  • Analysis of respiratory, gastrointestinal, CNS, and other viral infections.

Main Results:

  • 36% of the 117 patients developed at least one PCR-proven viral infection.
  • Respiratory (31%) and gastrointestinal (25%) infections were most common.
  • Central nervous system (CNS) infections occurred in ~10% (varicella-zoster virus, John Cunningham virus, enterovirus); SARS-CoV-2 identified in 2 patients, one resulting in death.

Conclusions:

  • Pediatric brain tumor patients on targeted therapies exhibit increased susceptibility to viral infections.
  • Bevacizumab or mTOR inhibitors may be associated with higher infection risk.
  • Prompt detection and treatment are essential to prevent severe outcomes in immunocompromised pediatric patients.

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