Journal Information
Vol. 15. Issue 3.
Pages 285-287 (May - June 2011)
Share
Share
Download PDF
More article options
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
Visits
2820
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
This item has received

Under a Creative Commons license
Article information
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
Full text is only aviable in PDF
References
[1.]
F.A. Hakim, I.M. Tleyjeh.
Severe adenovirus pneumonia in immunocompetent adults: a case report and review of the literature.
Eur J Clin Microbiol Infect Dis, 27 (2008), pp. 8-153
[2.]
H. Faden, R.J. Wynn, L. Campagna, R.M. Ryan.
Outbreak of adenovirus type 30 in a neonatal intensive care unit.
J Pediatr, 146 (2005), pp. 7-523
[3.]
J. Garbino, M.W. Gerbase, W. Wunderli, et al.
Respiratory viruses and severe lower respiratory tract complications in hospitalized patients.
Chest, 125 (2004), pp. 9-1033
[4.]
A.R. Silva, M. Park, S.F. Costa, et al.
Respiratory virus infections in Intensive Care Unit (ICU) patients in São Paulo, Brazil. In: 12th International Congress on Infectious Diseases, 2006, Lisboa.
Int J Infect Dis, (2006),
[5.]
M. Hatherill, M. Levin, Lawrenson, et al.
Evolution of an adenovirus outbreak in a multidisciplinary childrens hospital.
J Paediatr Child Health, 40 (2004), pp. 54-449
[6.]
A.G. Wesley, M. Pather, D. Tait.
Nosocomial adenovirus infection in a paediatric respiratory unit.
J Hosp Infect, 25 (1993), pp. 90-183
Copyright © 2011. Elsevier Editora Ltda.. All rights reserved
Download PDF
The Brazilian Journal of Infectious Diseases
Article options
Tools