Skip to main content
Log in

Lethal Adenovirus Infection in a Patient Who Had Undergone Nonmyeloablative Stem Cell Transplantation

  • Case Report
  • Published:
International Journal of Hematology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Shields AF, Hachman RC, Fife KH, et al. Adenovirus infections in patients undergoing bone marrow transplantation.New Engl J Med. 1985;146:529–533.

    Article  Google Scholar 

  2. Ito M, Hirabayashi N, Uno Y, et al. Necrotizing tubolointerstitial nephritis associated with adenovirus infection.Hum Pathol. 1991;22:1225–1231.

    Article  CAS  PubMed  Google Scholar 

  3. Slavin S, Nagler A, Naparstek E, et al. Nonmyeloablative stem cell transplantation and cell therapy as an alternative to conventional bone marrow transplantation with lethal cytoreduction for the treatment of malignant and nonmalignant hematologic diseases.Blood. 1998;91:756–763.

    PubMed  CAS  Google Scholar 

  4. Inoue K, Sugiyama H, Ogawa H, et al. WT1 as a new prognostic factor and a new marker for the detection of minimal residual disease in acute leukemia.Blood. 1994;84:3071–3079.

    PubMed  CAS  Google Scholar 

  5. Gondo H, Minematsu T, Harada M, et al. Cytomegalovirus (CMV) antigenemia for rapid diagnosis and monitoring of CMV-associated disease after bone marrow transplantation.Br J Haematol. 1994;86:130–137.

    Article  CAS  PubMed  Google Scholar 

  6. Einsele H, Ehninger G, Steidle M, et al. Lymphocytopenia as an unfavorable prognostic factor in patients with cytomegalovirus infection after bone marrow transplantation.Blood. 1993;82:1672–1678.

    PubMed  CAS  Google Scholar 

  7. Anasetti C, Hansen JA. Effect of HLA incompatibility in marrow transplantation from unrelated and HLA-mismatched related donors.Transfus Sci. 1994;15:221–230.

    Article  CAS  PubMed  Google Scholar 

  8. Miyamura K, Hamaguchi M, Taji H, et al. Successful ribavirin therapy for severe adenovirus hemorrhagic cystitis after allogeneic marrow transplant from close HLA donors rather than distant donors.Bone Marrow Transplant. 2000;25:545–548.

    Article  CAS  PubMed  Google Scholar 

  9. Laurent G, Sylvie F, Monique F, et al. Induction of Fas (Apo-1, CD95)-mediated apoptosis of activated lymphocytes by polyclonal antithymocyte globulins.Blood. 1998;91:2360–2368.

    Google Scholar 

  10. Matar LD, McAdams HP, Palmer SM, et al. Respiratory viral infections in lung transplant recipients: radiologic findings with clinical correlation.Radiology. 1999;213:735–742.

    Article  CAS  PubMed  Google Scholar 

  11. Ohori NP, Michaels MG, Jaffe R, et al. Adenovirus pneumonia in lung transplant recipients.Human Pathol. 1995;26:1073–1079.

    Article  CAS  Google Scholar 

  12. Hromas R, Cornetta K, Srour E, et al. Donor leukocyte infusion as therapy of life-threatening adenoviral infections after T cell-depleted bone marrow transplantation [letter].Blood. 1994;84:1689–1690.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hiroyasu Ogawa.

About this article

Cite this article

Ikegame, K., Takimoto, T., Takahashi, R. et al. Lethal Adenovirus Infection in a Patient Who Had Undergone Nonmyeloablative Stem Cell Transplantation. Int J Hematol 74, 95–100 (2001). https://doi.org/10.1007/BF02982557

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02982557

Key words

Navigation