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Lethal adenovirus infection in a patient who had undergone nonmyeloablative stem cell transplantation
K Ikegame1, T Takimoto, R Takahashi
1Department of Molecular Medicine, Osaka University Medical School, Suita, Japan.
International Journal of Hematology
|September 4, 2001
Abstract:
We present a case of adenovirus (ADV) infection in a patient who had undergone nonmyeloablative stem cell transplantation (NST). A 50-year-old man with chronic myelogenous leukemia in the second chronic phase underwent NST from an HLA 2-loci-mismatched sibling. ADV hemorrhagic cystitis developed and progressed to lethal pneumonia. ADV was isolated from urine, bronchoalveolar lavage fluid, and postmortem specimens of kidney and liver. Because there are few reports of lethal pneumonia associated with ADV in Japan, we present the case and discuss the cause of and therapy for the infection.