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.

Oman Medical Journal
|January 24, 2024
PubMed

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.

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