Fatal adenovirus hepatitis during maintenance therapy for childhood acute lymphoblastic leukemia.
Pediatr Blood Cancer
; 50(3): 647-9, 2008 Mar.
Article
em En
| MEDLINE
| ID: mdl-17278117
ABSTRACT
Disseminated adenoviral infection with hepatitis is rare in children undergoing standard chemotherapy. We report on a 3(1/2)-year-old male with fatal adenovirus hepatitis receiving maintenance chemotherapy for acute lymphoblastic leukemia (ALL). Adenoviral hepatitis was proven by histology, viral culture, and PCR in a liver biopsy. Quantitative real-time PCR in the peripheral blood showed adenoviral DNA copy number >10(9)/ml. Despite aggressive supportive care and antiviral treatment with cidofovir, the patient died rapidly due to fulminant liver failure. Diagnostic and treatment options for adenovirus infection remain unsatisfactory for these patients. We propose suggestions for diagnosis and therapy.
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Base de dados:
MEDLINE
Assunto principal:
Leucemia-Linfoma Linfoblástico de Células Precursoras B
/
Protocolos de Quimioterapia Combinada Antineoplásica
/
Infecções por Adenovirus Humanos
/
Hepatite Viral Humana
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article