[Acute necrotizing tubulointerstitial nephritis due to adenoviral infection following hematopoietic stem cell transplantation: clinical findings obtained from 4 autopsy cases].
Nihon Jinzo Gakkai Shi
; 50(8): 1036-43, 2008.
Article
em Ja
| MEDLINE
| ID: mdl-19172806
ABSTRACT
Once adenovirus infection extends to the kidney from the bladder in the immunosuppressive state after hematopoietic stem cell transplantation, most patients develop acute renal failure due to adenovirus-associated necrotizing tubulointerstitial nephritis. In the 6 years from 2000 to 2006, we retrospectively investigated the characteristics of adenovirus infection in 402 patients who had received a hematopoietic stem cell transplantation in our hospital. The incidence of adenovirus-associated hemorrhagic cystitis in patients who had received a hematopoietic stem cell transplantation was 3.5% (14/402). Among these 14 patients, 4 developed acute necrotizing tubulointerstitial nephritis all of whom died, which yielded the incidence and mortality rates of the disease of 1.0% and 100%, respectively. Once adenovirus infection extends to major organs in a rapid manner, the patient's general condition becomes fatal. Further study is necessary to establish the diagnosis and treatment of adenoviral infections in a compromised host.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Infecções por Adenoviridae
/
Transplante de Células-Tronco Hematopoéticas
/
Necrose do Córtex Renal
/
Nefrite Intersticial
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Ja
Revista:
Nihon Jinzo Gakkai Shi
Ano de publicação:
2008
Tipo de documento:
Article
País de afiliação:
Japão