Human Mastadenovirus A Infection in a Child During the Course of Hematopoietic Stem Cell Transplant

Siddika Songul Yalcin1, B Baris Kuskonmaz, Vicente Perez-Brocal

  • 1From the Department of Social Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Insights

Human mastadenovirus reactivation can complicate recovery after allogeneic hematopoietic stem cell transplant in pediatric patients. Continued monitoring is crucial for understanding virus persistence and latency post-transplant.

Area of Science:

  • Virology
  • Immunology
  • Hematology

Background:

  • Human mastadenoviruses are known to persist in various tissues post-primary infection.
  • Allogeneic hematopoietic stem cell transplantation (HSCT) is a complex procedure with potential complications.
  • Pediatric patients with Fanconi anemia are particularly vulnerable post-HSCT.

Observation:

  • A pediatric patient with Fanconi anemia experienced a complicated post-HSCT course.
  • Metagenomic analysis revealed human mastadenovirus reactivation during the 3-month follow-up period.
  • High viral loads were detected at day +15 (84%) and day +30 (90%), with shedding continuing for 3 months.

Findings:

  • Human mastadenovirus reactivation occurred in a pediatric HSCT recipient.
  • The virus demonstrated significant replication and shedding in the post-transplant period.
  • The patient achieved full donor chimerism and good clinical condition at 36 months post-HSCT.

Implications:

  • This case highlights the importance of monitoring for human mastadenovirus reactivation in HSCT recipients.
  • Further long-term follow-up studies are necessary to elucidate the latency patterns of human mastadenoviruses.
  • Understanding viral persistence is key to improving outcomes for immunocompromised patients.