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Peer-reviewedCC BY-NC-NDAmerican Journal of Transplantation

Bronchiolitis obliterans syndrome following SARS-CoV-2 infection in an allogeneic hematopoietic stem cell recipient

Abstract

Peripheral allogeneic hematopoietic stem cell transplant recipients are the most vulnerable patients to community-acquired respiratory viruses such as respiratory syncytial virus, influenza virus, or others. These patients are likely to develop severe acute viral infections; community-acquired respiratory viruses have also been identified as triggers of bronchiolitis obliterans (BO). BO is a manifestation of pulmonary graft-versus-host disease, most often leading to irreversible ventilatory impairment. To date, there are no data on whether Severe acute respiratory syndrome ​coronavirus 2 (SARS-CoV-2) could be a trigger for BO. Here, we report the first report of a case of bronchiolitis obliterans syndrome following SARS-CoV-2 infection occurring 10 months after allogeneic hematopoietic stem cell transplant with a flare of underlying extra thoracic graft-versus-host disease. This observation provides a new perspective and should be of particular interest to clinicians, suggesting the need for close monitoring of pulmonary function test (PFTs) after SARS-CoV-2 infection. The mechanisms leading to bronchiolitis obliterans syndrome after SARS-CoV-2 infection require further investigation.

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BibTeX
@article{bondeelle2026bronchiolitis,
  title = {{Bronchiolitis obliterans syndrome following SARS-CoV-2 infection in an allogeneic hematopoietic stem cell recipient}},
  author = {Louise Bondeelle and Federica Giannotti and Yves Chalandon and Jérôme Le Goff and Caroline Tapparel and Anne Bergeron},
  journal = {American Journal of Transplantation},
  year = {2026},
  month = oct,
  doi = {10.1016/j.ajt.2023.03.015},
  url = {https://hal.science/hal-05783153v1},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Bronchiolitis obliterans syndrome following SARS-CoV-2 infection in an allogeneic hematopoietic stem cell recipient
AU  - Louise Bondeelle
AU  - Federica Giannotti
AU  - Yves Chalandon
AU  - Jérôme Le Goff
AU  - Caroline Tapparel
AU  - Anne Bergeron
PY  - 2026
DA  - 2026/10/07
JO  - American Journal of Transplantation
DO  - 10.1016/j.ajt.2023.03.015
UR  - https://hal.science/hal-05783153v1
AB  - Peripheral allogeneic hematopoietic stem cell transplant recipients are the most vulnerable patients to community-acquired respiratory viruses such as respiratory syncytial virus, influenza virus, or others. These patients are likely to develop severe acute viral infections; community-acquired respiratory viruses have also been identified as triggers of bronchiolitis obliterans (BO). BO is a manifestation of pulmonary graft-versus-host disease, most often leading to irreversible ventilatory impairment. To date, there are no data on whether Severe acute respiratory syndrome ​coronavirus 2 (SARS-CoV-2) could be a trigger for BO. Here, we report the first report of a case of bronchiolitis obliterans syndrome following SARS-CoV-2 infection occurring 10 months after allogeneic hematopoietic stem cell transplant with a flare of underlying extra thoracic graft-versus-host disease. This observation provides a new perspective and should be of particular interest to clinicians, suggesting the need for close monitoring of pulmonary function test (PFTs) after SARS-CoV-2 infection. The mechanisms leading to bronchiolitis obliterans syndrome after SARS-CoV-2 infection require further investigation.
SN  - 1600-6135
SN  - 1600-6143
ER  -