Renal infection due to adenovirus in a patient with human immunodeficiency virus infection

Opportunistic viral infections in persons with human immunodeficiency virus (HIV) infection are well described, but reports of morbidity or mortality caused by adenoviruses among this patient population are uncommon despite the frequent isolation of adenoviruses from patients with HIV infection. At autopsy we found necrotizing adenovirus infection of renal tubules in a patient with cytomegalovirus infection of the colon and adrenal glands. The tissue damage we describe in this report adds to the spectrum of findings for patients with asymptomatic adenovirus infection of the urinary tract.