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Access to the eBook is limited to the first individual who redeems the PIN, located on the inside cover of this book, at expertconsult.inkling.com and may not be transferred to another party by resale, lending, or other means. 2015v1.0 Pediatric Transplant Oncology and Infectious Diseases Pediatric Transplant Oncology and Infectious Diseases William J. Steinbach, MD Lara A. Danziger-Isakov, MD, MPH Samuel L. Katz Professor of Pediatrics Professor of Pediatrics Professor in Molecular Genetics and Microbiology Director, Immunocompromised Host Infectious Chief, Division of Pediatric Infectious Diseases Diseases Director, Duke Pediatric Immunocompromised Division of Infectious Diseases Host Program Cincinnati Children’s Hospital Medical Center Director, International Pediatric Fungal Network University of Cincinnati Duke University School of Medicine Cincinnati, Ohio Durham, North Carolina Brian T. Fisher, DO, MPH, MSCE Michael D. Green, MD, MPH Associate Professor of Pediatrics and Epidemiology Professor of Pediatrics, Surgery and Clinical and Senior Scholar, Penn Center for Clinical Epidemiology Translational Science and Biostatistics Co-Director, Transplant Infectious Diseases Co-Director, International Pediatric Fungal Network Division of Infectious Diseases Chair, Infectious Diseases Subcommittee for the UPMC Children’s Hospital of Pittsburgh Children’s Oncology Group University of Pittsburgh School of Medicine Division of Infectious Diseases Pittsburgh, Pennsylvania Children’s Hospital of Philadelphia Perelman School of Medicine at the University of Marian G. Michaels, MD, MPH Pennsylvania Philadelphia, Pennsylvania Professor of Pediatrics and Surgery Co-Director, Transplant Infectious Diseases Division of Infectious Diseases UPMC Children’s Hospital of Pittsburgh University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania Elsevier 1600 John F. Kennedy Blvd. Ste 1800 Philadelphia, PA 19103-899 PEDIATRIC TRANSPLANT AND ONCOLOGY INFECTIOUS DISEASES ISBN: 978-0-323-64198-2 Copyright © 2021 by Elsevier, Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notice Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds or experiments described herein. Because of rapid advances in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or contributors for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Library of Congress Control Number: 2019953760 Content Strategist: Sarah Barth Content Development Manager: Ellen Wurm-Cutter Content Development Specialist: Meghan Andress Publishing Services Manager: Deepthi Unni Project Manager: Janish Ashwin Paul Design Direction: Ryan Cook Printed in China Last digit is the print number: 9 8 7 6 5 4 3 2 1 To all the pediatric transplant recipients, children with cancer, and their families, who are the true inspiration for this textbook and who put their trust in us to help them through their illness. We also dedicate this book to the organ donors and their families, who give the ultimate gift and allow transplantation to be a reality. To my wife, Dr. Susan Emmett, my children, Amelia and Aidan Steinbach, my parents, Dr. Charles and Katherine Steinbach, and my in-laws, Dr. John and Karen Emmett. William J. Steinbach, MD To my children, David, Erin, Molly, and Allison, my granddaughter, Lyla, and my wife, Jenny, who has been my partner and best friend for the past 36 years. Michael D. Green, MD, MPH To my parents, Dr. Milton and Lois Michaels, and my mentor, Dr. Ellen Wald, for their continued support and wisdom. Marian G. Michaels, MD, MPH To my husband, Ronnen Isakov, my children, Avital and Gavin Isakov, and my parents, Nancy and Nathan Danziger, for their limitless support. Lara A. Danziger-Isakov, MD, MPH To my wife, Megan Fisher, for her constant love, continuous support, and limitless encouragement, to my children, Makenzie, Bradan, and Luke, for sacrificing their time with Dad for this effort, and to my parents, Tim and Kathy, for encouraging us to reach our dreams. Brian T. Fisher, DO, MPH, MSCE v C O N T R I B U TO R S Chapter 1 University of Cincinnati Chair, Infectious Diseases Subcommittee for Yeh-Chung Chang, MD, MSCE Cincinnati, Ohio the Children’s Oncology Group Assistant Professor of Pediatrics Division of Infectious Diseases Division of Pediatric Infectious Diseases Chapter 5 Children’s Hospital of Philadelphia Duke University School of Medicine Marian G. Michaels, MD, MPH Perelman School of Medicine at the Durham, North Carolina Professor of Pediatrics and Surgery University of Pennsylvania Co-Director, Transplant Infectious Diseases Philadelphia, Pennsylvania Andrew Barbas, MD Division of Infectious Diseases Assistant Professor of Surgery UPMC Children’s Hospital of Pittsburgh Lillian Sung, MD, PhD Division of Abdominal Transplant Surgery University of Pittsburgh School of Professor Duke University School of Medicine Medicine Division of Haematology/Oncology Durham, North Carolina Pittsburgh, Pennsylvania Department of Pediatrics and Institute of Health Policy Management and Evaluation Chapter 2 Michael D. Green, MD, MPH The Hospital for Sick Children Jasmeen Dara, MD, MS Professor of Pediatrics, Surgery and Clinical University of Toronto Assistant Professor of Clinical Pediatrics and Translational Science Toronto, Ontario, Canada Division of Pediatric Blood and Marrow Co-Director, Transplant Infectious Diseases Transplantation Division of Infectious Diseases Chapter 9 University of California—San Francisco UPMC Children’s Hospital of Pittsburgh Klara M. Posfay-Barbe, MD, MS San Francisco, California University of Pittsburgh School of Medicine Professor of Pediatrics Pittsburgh, Pennsylvania Head of Pediatric Infectious Diseases Christopher C. Dvorak, MD Children’s Hospital of Geneva Chapter 6 Professor of Clinical Pediatrics University Hospitals of Geneva Gabriela M. Marón Alfaro, MD, MS Chief, Division of Pediatric Allergy, Geneva, Switzerland Associate Member Immunology, and Blood and Marrow Department of Infectious Diseases Transplantation Natasha Halasa, MD, MPH St. Jude Children’s Research Hospital University of California—San Francisco Associate Professor of Pediatrics Memphis, Tennessee San Francisco, California Division of Pediatric Infectious Diseases Monroe Carell Jr. Children’s Hospital at Hayley A. Gans, MD Chapter 3 Vanderbilt Professor of Pediatrics Neil Patel, PharmD, BCOP Vanderbilt University School of Medicine Division of Pediatric Infectious Diseases Department of Pharmacy Nashville, Tennessee Stanford University School of Medicine Children’s Hospital of Philadelphia Stanford, California Philadelphia, Pennsylvania Chapter 10 Matthew S. Kelly, MD, MPH Chapter 7 Abby Green, MD Assistant Professor of Pediatrics Michele Estabrook, MD Assistant Professor of Pediatrics Assistant Professor of Global Health Professor of Pediatrics Division of Pediatric Infectious Diseases Division of Pediatric Infectious Diseases Division of Pediatric Infectious Diseases Division of Pediatric Hematology/Oncology Duke University School of Medicine Washington University in St. Louis St. Louis Children’s Hospital Durham, North Carolina St. Louis, Missouri Washington University in St. Louis St. Louis, Missouri Monica I. Ardura, DO, MSCS Michael A. Silverman, MD, PhD Associate Professor of Pediatrics Assistant Professor of Pediatrics Chapter 4 Medical Director, Host Defense Program Division of Infectious Diseases Rebecca Pellett Madan, MD, MS Division of Infectious Diseases Children’s Hospital of Philadelphia Associate Professor of Pediatrics Nationwide Children’s Hospital Perelman School of Medicine at the Division of Infectious Diseases The Ohio State University University of Pennsylvania New York University Langone School of Columbus, Ohio Philadelphia, Pennsylvania Medicine New York, New York Chapter 8 Chapter 11 Brian T. Fisher, DO, MPH, MSCE Joshua Wolf, MBBS, PhD, FRACP Lara A. Danziger-Isakov, MD, MPH Associate Professor of Pediatrics and Associate Member Professor of Pediatrics Epidemiology Department of Infectious Diseases Director, Immunocompromised Host Senior Scholar, Penn Center for Clinical St. Jude Children’s Research Hospital Infectious Diseases Epidemiology and Biostatistics Assistant Professor Division of Infectious Diseases Co-Director, International Pediatric Fungal Department of Pediatrics Cincinnati Children’s Hospital Medical Center Network University of Tennessee Health Science Center Memphis, Tennessee vi CONTRIBUTORS vii Jeffrey S. Gerber, MD, PhD Clinical Director, Division of Infectious University of Cincinnati Associate Professor of Pediatrics and Diseases Cincinnati, Ohio Epidemiology UPMC Children’s Hospital of Pittsburgh Division of Infectious Diseases University of Pittsburgh School of Medicine Tanvi Sharma, MD, MPH Children’s Hospital of Philadelphia Pittsburgh, Pennsylvania Assistant Professor of Pediatrics Perelman School of Medicine at the University Division of Infectious Diseases of Pennsylvania Pranita D. Tamma, MD, MHS Department of Pediatrics Philadelphia, Pennsylvania Associate Professor of Pediatrics Harvard Medical School Division of Infectious Diseases Boston, Massachusetts Michael J. Smith, MD, MSCE Program Director, Pediatric Antimicrobial Associate Professor of Pediatrics Stewardship Chapter 18 Division of Pediatric Infectious Diseases Johns Hopkins University School of Michael D. Green, MD, MPH Medical Director, Pediatric Antimicrobial Medicine Professor of Pediatrics, Surgery and Clinical Stewardship Baltimore, Maryland and Translational Science Duke University School of Medicine Co-Director, Transplant Infectious Diseases Durham, North Carolina Chapter 15 Division of Infectious Diseases Daniel Dulek, MD UPMC Children’s Hospital of Pittsburgh Chapter 12 Assistant Professor of Pediatrics University of Pittsburgh School of Medicine Ibukunoluwa C. Akinboyo, MD Division of Pediatric Infectious Diseases Pittsburgh, Pennsylvania Assistant Professor of Pediatrics Medical Director, Peter F. Wright Division of Pediatric Infectious Diseases Immunocompromised Pediatric Thomas Gross, Jr., MD, PhD Medical Director, Pediatric Infection Infectious Diseases Service Deputy Director of Science Prevention Monroe Carell Jr. Children’s Hospital at Center for Global Health Duke University School of Medicine Vanderbilt National Cancer Institute Durham, North Carolina Vanderbilt University School of Medicine Rockville, Maryland Nashville, Tennessee Dawn Nolt, MD, MPH Upton D. Allen, MBBS Associate Professor of Pediatrics Victoria A. Statler, MD, MSc Professor Division of Pediatric Infectious Diseases Assistant Professor Pediatrics and Institute of Health Policy, Doernbecher Children’s Hospital Division of Pediatric Infectious Diseases Management & Evaluation Oregon Health and Science University Medical Director, Pediatric Transplant/ Senior Associate Scientist and Chief Portland, Oregon Immunocompromised Host Infectious Division of Infectious Diseases Diseases Service The Hospital for Sick Children Chapter 13 Norton Children’s Hospital University of Toronto Blanca E. Gonzalez, MD University of Louisville School of Medicine Toronto, Ontario, Canada Associate Professor of Pediatrics Louisville, Kentucky Center for Pediatric Infectious Diseases Chapter 19 Cleveland Clinic Children’s Hospital Chapter 16 William J. Muller, MD, PhD Cleveland Clinic Lerner College of Medicine Flor M. Munoz, MD, MSc Associate Professor of Pediatrics of Case Western Reserve University Associate Professor of Pediatrics Division of Infectious Diseases Cleveland, Ohio Department of Pediatrics, Infectious Ann and Robert H. Lurie Children’s Hospital Diseases Feinberg School of Medicine, Northwestern Marian G. Michaels, MD, MPH Texas Children’s Hospital University Professor of Pediatrics and Surgery Baylor College of Medicine Chicago, Illinois Co-Director, Transplant Infectious Diseases Houston, Texas Division of Infectious Diseases Betsy C. Herold, M.D. UPMC Children’s Hospital of Pittsburgh Philana Ling Lin, MD, MSc Harold and Muriel Block Chair in Pediatrics University of Pittsburgh School of Medicine Associate Professor of Pediatrics Vice Chair for Research, Department of Pittsburgh, Pennsylvania Division of Infectious Diseases Pediatrics UPMC Children’s Hospital of Pittsburgh Chief, Division of Pediatric Infectious Diseases Chapter 14 University of Pittsburgh School of Professor, Pediatrics & Microbiology- Mehreen Arshad, MBBS Medicine Immunology Assistant Professor of Pediatrics Pittsburgh, Pennsylvania Albert Einstein College of Medicine and the Division of Infectious Diseases Children’s Hospital at Montefiore Ann and Robert H. Lurie Children’s Chapter 17 Bronx, New York Hospital Lara A. Danziger-Isakov, MD, MPH Feinberg School of Medicine, Northwestern Professor of Pediatrics Chapter 20 University Director, Immunocompromised Host Debra J. Lugo, MD Chicago, Illinois Infectious Diseases Assistant Professor of Pediatrics Division of Infectious Diseases Division of Pediatric Infectious Diseases Andrew Nowalk, MD, PhD Cincinnati Children’s Hospital Medical Duke University School of Medicine Associate Professor of Pediatrics Center Durham, North Carolina viii CONTRIBUTORS Danielle M. Zerr, MD, MPH Chapter 24 Department of Pediatrics Professor and Chief, Division of Pediatric William J. Steinbach, MD Division of Pediatric Infectious Diseases Infectious Diseases Samuel L. Katz Professor of Pediatrics Albert Einstein College of Medicine and University of Washington Professor in Molecular Genetics and Children’s Hospital at Montefiore Center for Clinical and Translational Research Microbiology Bronx, New York Seattle Children’s Research Institute Chief, Division of Pediatric Infectious Diseases Seattle, Washington Director, Duke Pediatric Immunocompromised David L. Goldman, MD Host Program Associate Professor of Pediatrics, Microbiology Chapter 21 Director, International Pediatric Fungal & Immunology Alpana Waghmare, MD Network Director of Pediatric Infectious Diseases Assistant Professor Duke University School of Medicine Fellowship Division of Pediatric Infectious Diseases Durham, North Carolina Albert Einstein College of Medicine and University of Washington Children’s Hospital at Montefiore Center for Clinical and Translational Research Chapter 25 Bronx, New York Seattle Children’s Research Institute Rachel L. Wattier, MD, MHS Seattle, Washington Assistant Professor of Pediatrics Chapter 28 Division of Pediatric Infectious Diseases and John C. Christenson, MD Janet A. Englund, MD Global Health Professor of Clinical Pediatrics Professor University of California—San Francisco Ryan White Center for Pediatric Infectious Division of Pediatric Infectious Diseases San Francisco, California Diseases and Global Health University of Washington Riley Hospital for Children Center for Clinical and Translational Research William J. Steinbach, MD Indiana University School of Medicine Seattle Children’s Research Institute Samuel L. Katz Professor of Pediatrics Indianapolis, Indiana Professor in Molecular Genetics and Seattle, Washington Microbiology Thomas G. Fox, MD Chapter 22 Chief, Division of Pediatric Infectious Diseases Assistant Professor of Pediatrics Diana F. Florescu, MD Director, Duke Pediatric Immunocompromised Division of Infectious Diseases Professor of Internal Medicine Host Program Emory University School of Medicine Courtesy Professor of Surgery Director, International Pediatric Fungal Atlanta, Georgia Network Nebraska Medical Center Duke University School of Medicine University of Nebraska Chapter 29 Durham, North Carolina Lincoln, Nebraska Sharon F. Chen, MD, MS Associate Professor of Pediatrics Chapter 26 Erica J. Stohs, MD, MPH Division of Pediatric Infectious Diseases Jennifer E. Schuster, MD, MSCI Assistant Professor of Medicine Stanford University School of Medicine Associate Professor of Pediatrics Associate Medical Director, Antimicrobial Stanford, California Division of Pediatric Infectious Diseases Stewardship Children’s Mercy Kansas City Nebraska Medical Center Hayley A. Gans, MD University of Missouri-Kansas City University of Nebraska Professor of Pediatrics Kansas City, Missouri Lincoln, Nebraska Division of Pediatric Infectious Diseases Stanford University School of Medicine Brian T. Fisher, DO, MPH, MSCE Chapter 23 Associate Professor of Pediatrics and Stanford, California Benjamin L. Laskin, MD, MSc Epidemiology Assistant Professor of Pediatrics Senior Scholar, Penn Center for Clinical Chapter 30 Division of Nephrology Epidemiology and Biostatistics Grant C. Paulsen, MD Children’s Hospital of Philadelphia Co-Director, International Pediatric Fungal Professor Perelman School of Medicine at the University Network Director, Pediatric Infectious Diseases of Pennsylvania Chair, Infectious Diseases Subcommittee for Fellowship Philadelphia, Pennsylvania the Children’s Oncology Group Division of Infectious Diseases Cincinnati Children’s Hospital Medical Center Division of Infectious Diseases Hans H. Hirsch, MD, MSc Children’s Hospital of Philadelphia University of Cincinnati Professor Perelman School of Medicine at the Cincinnati, Ohio Transplantation and Clinical Virology University of Pennsylvania Department of Biomedicine Philadelphia, Pennsylvania Paul K. Sue, MD University of Basel Assistant Professor of Pediatrics Diagnostic Virology and Laboratory Medicine Chapter 27 Division of Pediatric Infectious Diseases Infectious Diseases and Hospital Epidemiology Philip Lee, PharmD University of Texas Southwestern Medical University Hospital Basel Clinical Pharmacist for Pediatric Center Basel, Switzerland Infectious Disease Dallas, Texas