Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Adenovirus-induced obstructive uropathy with acute renal failure in an immunodeficient child.
Publication types: Case Reports ; Journal Article Publication Status: ppublish
Viral infections represent severe complications in immunodeficient patients, associated with significant morbidity and mortality. We report a case of a bone marrow-transplanted adolescent with hemorrhagic cystitis 4 weeks after transplant, associated with renal failure because of obstructive pyelonephritis. Diagnostic workup finally revealed adenovirus infection. A double-J stent was inserted with spontaneous favorable evolution thereafter. Adenovirus infection in an immunocompromised patient can cause hemorrhagic cystitis without specific symptoms and might evolve toward obstructive pyelonephritis because of tubular necrosis. Diagnosis is made by urine culture and/or blood polymerase chain reaction. In case of fatal dissemination, diagnosis might only be revealed on autopsy.
Acute Kidney Injury/virology, Adenoviridae Infections/complications, Adolescent, Humans, Immunocompromised Host, Male, Pyelonephritis/virology, Ureteral Obstruction/virology
Web of science
Last modification date