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I believe there is a shingles vaccine available now. CMV is treated

prophylactically after tx of a CMV positive organ into a CMV negative

recipient by giving them ganciclovir for 6 weeks post tx. By then the

immunosuppressant medication dosages have been reduced such that it is

hoped that the patient will have either no reaction or a very mild

reaction to the virus. As far as I know, no CMV vaccine is available

commercially as yet. Sometimes people have to be treated for CMV after

the prophylactic treatment is stopped because of significant illness

due to CMV.

Aubrey, MD

PSC '81, UC '90, LTX '98, Recurrence '05

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I believe there is a shingles vaccine available now. CMV is treated

prophylactically after tx of a CMV positive organ into a CMV negative

recipient by giving them ganciclovir for 6 weeks post tx. By then the

immunosuppressant medication dosages have been reduced such that it is

hoped that the patient will have either no reaction or a very mild

reaction to the virus. As far as I know, no CMV vaccine is available

commercially as yet. Sometimes people have to be treated for CMV after

the prophylactic treatment is stopped because of significant illness

due to CMV.

Aubrey, MD

PSC '81, UC '90, LTX '98, Recurrence '05

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I believe there is a shingles vaccine available now. CMV is treated

prophylactically after tx of a CMV positive organ into a CMV negative

recipient by giving them ganciclovir for 6 weeks post tx. By then the

immunosuppressant medication dosages have been reduced such that it is

hoped that the patient will have either no reaction or a very mild

reaction to the virus. As far as I know, no CMV vaccine is available

commercially as yet. Sometimes people have to be treated for CMV after

the prophylactic treatment is stopped because of significant illness

due to CMV.

Aubrey, MD

PSC '81, UC '90, LTX '98, Recurrence '05

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  • 4 months later...
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Yes, it should be investigated with the tests you mentioned. Hard to

say what it might be, but it could be a bunch of different things, some

not so good, sorry to say. Could be a lymph node due to previous

infections. Can his coordinator book the tests? Actually, if he's back

on Tuesday and can book them ASAP, then that's probably good enough. Do

they do PET scans at Baylor? If so, you might want to ask about that.

You know my feelings about AFP, CA-19-9 and other biomarkers; so the

MRI and PET would be better tests to pursue. The markers are only

secondary evidence of bad things, not diagnostic. Let me know what

happens. Stay calm, be brave and wait for the results. (to paraphrase a

Canadian Native radio comedy show that really makes sense).

Aubrey, MD

PSC '81, UC '90, LTX '98, Recurrence '05

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