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Vol. 15. Issue 3.
Pages 285-287 (May - June 2011)
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Vol. 15. Issue 3.
Pages 285-287 (May - June 2011)
Open Access
Fatal adenoviral necrotizing bronchiolitis case in a post-cardiac surgery intensive care unit
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Jussara Bianchi Castelli1,
Corresponding author
jussara.castelli@incor.usp.br

Laboratório de Anatomia Patológica, Instituto do Coração (InCor) - HCFMUSP Av. Dr Enéas Carvalho de Aguiar, 44 São Paulo - SP – Brasil CEP 05403-000.
, Rinaldo F. Siciliano2, Ricardo D. Vieira3, Vera D. Aiello4, Tânia M.V. Strabelli5
1 Pathologist: Laboratory of Pathology, Instituto do Coração (InCor), Medical School, Universidade de São Paulo (USP), Brazil
2 Infectologist, Infection Control Unit, InCor, Medical School, USP, Brazil
3 Cardiologist, Department of Atherosclerosis, InCor, Medical School, USP, Brazil
4 Pathologist, Laboratory of Pathology, InCor, Medical School, USP, Brazil
5 Infectologist, Infection Control Unit, InCor Medical School, USP, Brazil
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Abstract

We report a case of a 67 year-old-male patient admitted to the intensive care unit in the postcoronary bypass surgery period who presented cardiogenic shock, acute renal failure and three episodes of sepsis, the latter with pulmonary distress at the 30th post-operative day. The patient expired within five days in spite of treatment with vancomycin, imipenem, colistimethate and amphotericin B. At autopsy severe adenovirus pneumonia was found. Viral pulmonary infections following cardiovascular surgery are uncommon. We highlight the importance of etiological diagnosis to a correct treatment approach.

Keywords:
adenovirus infections, human
intensive care units
bronchiolitis, viral
thoracic surgery
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