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Published on: May 7, 2012
Disseminated Adenoviral Infection Complicated by Fatal Hemorrhagic Enterocolitis in a Child with Acute Myeloid
Hanan Nazir1, Mathew Zachariah2, Laila Al Yazidi2
1Department of Pediatrics, Alexandria Faculty of Medicine, Alexandria, Egypt.
Insights
Serious adenovirus infections are rare in children with acute leukemia. A toddler with acute myeloid leukemia developed a fatal disseminated adenoviral infection, highlighting a rare but severe complication.
Area of Science:
- Pediatric Oncology
- Infectious Diseases
- Hematology
Background:
- Adenovirus infections are typically self-limiting in young children.
- Severe adenovirus infections are uncommon in pediatric patients with acute leukemia.
Observation:
- A toddler diagnosed with acute myeloid leukemia (AML) presented with a disseminated adenoviral infection.
- The infection led to severe complications, including hemorrhagic enterocolitis and septic shock.
Findings:
- This case represents a rare instance of severe, disseminated adenovirus infection in a child with acute myeloid leukemia.
- The patient's compromised immune status likely contributed to the infection's severity and fatal outcome.
Implications:
- Highlights the potential for severe adenoviral complications in immunocompromised pediatric cancer patients.
- Underscores the need for vigilance in diagnosing and managing infections in children undergoing leukemia treatment.
- Suggests further research into the specific vulnerabilities of leukemic children to adenoviral pathogens.
Abstract:
Adenovirus infections are common and self-limiting in young children except those with compromised cellular immunity. However, serious adenovirus infections are rare in children with acute leukemia. We report a rare case of a toddler with acute myeloid leukemia who developed a disseminated adenoviral infection complicated by hemorrhagic enterocolitis and septic shock that led to a fatal outcome.
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