Fatal nosocomial hemorrhagic enterocolitis probably caused by adenovirus. Report of one case

被引:1
|
作者
Fica, Alberto [1 ]
Cataldo, Pabla [2 ]
Aceituno, Diana [3 ]
Ignacia Villarroel, Maria [4 ]
Escalona, Arturo [5 ]
机构
[1] Hosp Mil Santiago, Serv Infectol, Santiago, Chile
[2] Univ Valparaiso, Sede Hosp Mil Santiago, Fac Med, Programa Formac Med Interna, Valparaiso, Chile
[3] Univ Los Andes, Escuela Med, Santiago, Chile
[4] Univ Los Andes, Escuela Med, Sede Hosp Mil Santiago, Programa Formac Med Interna, Santiago, Chile
[5] Hosp Mil Santiago, Serv Anat Patol, Santiago, Chile
关键词
Acute Kidney Injury; Adenoviridae; Adrenal Cortex Hormones; Cross Infection; Enterocolitis; STEM-CELL TRANSPLANTATION; MULTICENTER EVALUATION; INFECTIONS;
D O I
10.4067/s0034-98872019000200256
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Adenovirus (ADV) is a recognized cause of severe disease among immunocompromised patients. We report a previously healthy 39-year-old female, admitted with influenza pneumonia and evolving with lung hemorrhage and acute renal failure requiring mechanical ventilation and hemo dialysis. She received high corticosteroid doses due to an initial suspicion of alveolar hemorrhage. Lymphopenia already present before steroid use (567/mu L), was maintained during the whole hospital stay (mean 782/mu L). From the second week of admission she presented a high-volume diarrhea (mean 2.5 L/day) associated to intermittent bloody stools. An ulcerative enterocolitis was confirmed by CT images and colonoscopy. ADV was detected in a colonic tissue sample by real time PCR but not by a commercial filmarray test. Cidofovir-probenecid and racecadotril therapy were indicated without changing the clinical course of diarrhea and the patient finally died.
引用
收藏
页码:256 / 260
页数:5
相关论文
共 50 条
  • [31] A case report of fatal disseminated adenovirus infection following rituximab therapy
    Ford, Charlotte M.
    Mills, Wendy
    Wall, G. R.
    Clark, D. A.
    Mattes, F. M.
    RHEUMATOLOGY, 2008, 47 : II159 - II159
  • [32] Fulminant pseudomembranous enterocolitis caused by Klebsiella oxytoca: an autopsy case report
    Nagamura, Tatsunori
    Tanaka, Yoshihiro
    Terayama, Takero
    Higashiyama, Daishi
    Seno, Soichiro
    Isoi, Naoaki
    Katsurada, Yuka
    Matsubara, Akiko
    Yoshimura, Yuya
    Sekine, Yasumasa
    Akitomi, Shinji
    Sato, Kimiya
    Tsuda, Hitoshi
    Saitoh, Daizoh
    Ikeuchi, Hisashi
    ACUTE MEDICINE & SURGERY, 2019, 6 (01): : 78 - 82
  • [33] Short Report: Fatal Nosocomial Spread of Crimean-Congo Hemorrhagic Fever with Very Short Incubation Period
    Naderi, HamidReza
    Sheybani, Fereshte
    Bojdi, Amin
    Khosravi, Nasrin
    Mostafavi, Irandokht
    AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 2013, 88 (03): : 469 - 471
  • [34] Chronic Hemorrhagic Anemia Caused by Hookworm Infection: A Case Report
    Li, Baisheng
    Chen, Shihong
    Cui, Xiangming
    Dai, Ming
    Meng, Wenying
    Wu, Qiong
    Sheng, Huiming
    ACTA PARASITOLOGICA, 2023, 68 (01) : 288 - 292
  • [35] Chronic Hemorrhagic Anemia Caused by Hookworm Infection: A Case Report
    Baisheng Li
    Shihong Chen
    Xiangming Cui
    Ming Dai
    Wenying Meng
    Qiong Wu
    Huiming Sheng
    Acta Parasitologica, 2023, 68 : 288 - 292
  • [36] Suppurative Cholangitis Caused by Ascaris lumbricoides: Report of A Fatal Case
    Miman, Ozlem
    Okur, Nazan
    Cufali, Davut
    Yilmaz, Sezgin
    KAFKAS UNIVERSITESI VETERINER FAKULTESI DERGISI, 2012, 18 : A235 - A237
  • [37] Infected aneurysm of the thoracic aorta probably caused by Bacillus cereus: a case report
    Tzu-Chi Wu
    Ching-Chou Pai
    Pin-Wen Huang
    Chun-Bin Tung
    BMC Infectious Diseases, 19
  • [38] Neonatal Meningitis Caused by Actinomyces: A Case Report of the Most Probably New Strain
    Ipek, Mehmet Sah
    Ozbek, Erdal
    Guldemir, Dilek
    Akpolat, Nezahat
    JOURNAL OF PEDIATRIC INFECTIOUS DISEASES, 2017, 12 (02) : 138 - 141
  • [39] ACUTE RHABDOMYOLYSIS WITH MYOGLOBINURIA - REPORT OF A CASE PROBABLY CAUSED BY A VIRAL-INFECTION
    BARREY, C
    DEBAUCHEZ, C
    ETIENNE, M
    ANNALES DE PEDIATRIE, 1986, 33 (04): : 351 - 353
  • [40] Infected aneurysm of the thoracic aorta probably caused by Bacillus cereus: a case report
    Wu, Tzu-Chi
    Pai, Ching-Chou
    Huang, Pin-Wen
    Tung, Chun-Bin
    BMC INFECTIOUS DISEASES, 2019, 19 (01)