Failure of intravenous ribavirin in the treatment of invasive adenovirus infection following allogeneic bone marrow transplantation: A case report

被引:28
作者
Mann, D [1 ]
Moreb, J [1 ]
Smith, S [1 ]
Gian, V [1 ]
机构
[1] Univ Florida, Coll Med, Div Hematol Oncol, Gainesville, FL 32610 USA
关键词
D O I
10.1016/S0163-4453(98)80021-2
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
We report a case of fatal adenovirus infection in a 37-year-old female who underwent allogeneic bone marrow transplantation (BMT) for acute myelogenous leukaemia (AML), Post BMT she developed acute grade II graft-vs.-host disease (aGVHD) requiring high-dose steroids and anti-thymocyte globulin, Additionally, her clinical course was complicated with adenovirus-associated haemorrhagic cystitis and viraemia. Intravenous ribavirin was obtained and administered for 5 days without success; the patient's mental status deteriorated rapidly and she died on day 69 post-transplant, Radiological imaging revealed diffuse cortical necrosis. At autopsy adenovirus was identified in her bladder, kidneys and lungs.
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页码:227 / 228
页数:2
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