Ribavirin therapy for adenovirus pneumonia in an AIDS patient

被引:14
作者
Maslo, C [1 ]
Girard, PM [1 ]
Urban, T [1 ]
Guessant, S [1 ]
Rozenbaum, W [1 ]
机构
[1] HOP ST ANTOINE,SERV PNEUMOL,F-75571 PARIS,FRANCE
关键词
D O I
10.1164/ajrccm.156.4.97-02028
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
We report the effectiveness of ribavirin in an AIDS patient with multinodular pneumonia due to adenovirus, A 38-year-old AIDS patient who experienced multiple opportunistic infections and whose CD4 lymphocyte count was 5/mm(3) developed bilateral nodular lung opacities. Lung surgical biopsy yielded necrotizing pneumonitis with characteristic nuclear inclusions and positive immunocytology with adenovirus antibodies. Marked clinical and radiological improvement was obtained after intravenous then oral ribavirin. Ribavirin was discontinued after 40 d because of anemia. Relapse of pneumonia with respiratory distress led to death 8 mo later, This observation illustrates a rarely reported pulmonary opportunistic infection in AIDS and the potential value of ribavirin therapy for adenovirus pneumonia.
引用
收藏
页码:1263 / 1264
页数:2
相关论文
共 8 条
[1]  
CASSANO WF, 1991, BONE MARROW TRANSPL, V7, P247
[2]   ADENOVIRUSES IN THE IMMUNOCOMPROMISED HOST [J].
HIERHOLZER, JC .
CLINICAL MICROBIOLOGY REVIEWS, 1992, 5 (03) :262-274
[3]  
JURADO M, 1995, BONE MARROW TRANSPL, V15, P651
[4]   INTRAVENOUS RIBAVIRIN THERAPY FOR ADENOVIRUS GASTROENTERITIS AFTER BONE-MARROW TRANSPLANTATION [J].
KAPELUSHNIK, J ;
OR, R ;
DELUKINA, M ;
NAGLER, A ;
LIVNI, N ;
ENGELHARD, D .
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 1995, 21 (01) :110-112
[5]  
LILES WC, 1994, BONE MARROW TRANSPL, V14, P663
[6]  
MCCARTHY AJ, 1995, PEDIATR INFECT DIS J, V14, P1003
[7]   ADENOVIRUS-ASSOCIATED HEMORRHAGIC CYSTITIS TREATED WITH INTRAVENOUS RIBAVIRIN [J].
MURPHY, GF ;
WOOD, DP ;
MCROBERTS, JW ;
HENSLEEDOWNEY, PJ .
JOURNAL OF UROLOGY, 1993, 149 (03) :565-566
[8]   RECOVERY FROM ADENOVIRUS PNEUMONIA IN A SEVERE COMBINED IMMUNODEFICIENCY PATIENT TREATED WITH INTRAVENOUS RIBAVIRIN [J].
WULFFRAAT, NM ;
GEELEN, SPM ;
VANDIJKEN, PJ ;
DEGRAEFFMEEDER, B ;
KUIS, W ;
BOVEN, K .
TRANSPLANTATION, 1995, 59 (06) :927-927