[Multiple organ failure and disseminated adenoviral infection].
BACKGROUND
Peripheral blood stem cell transplantation is a frequent option, especially for patients with hematological malignancies.


METHODS
A first patient received this treatment for acute myeloblastic leukemia, the second for Richter's syndrome (follicular lymphoma). In both cases, allograft (unrelated donor, non myeloablative conditioning) was followed by graft versus host disease (GVH) requiring an immunosuppressive treatment. Respectively 15 and three months after graft, these two patients presented with multiple organ failure including very severe hepatic dysfunction. The diagnosis was made according to positive blood PCR, positive BAL, and hepatic histological findings.


CONCLUSIONS
Adenoviruses, frequent in pediatrics, can be responsible for extremely severe infections among immunocompromised adults. T lymphocyte depletion plays a key role.


CONCLUSIONS
Adenoviral infections can be fatal among immunocompromised patients. Diagnostic improvement should lead to early treatment, which however, remains to be clearly defined.
Bretonnière
C
C
Service de réanimation médicale polyvalente, CHU de Nantes, immeuble Jean-Monnet, 1, place Alexis-Ricordeau, 44035 Nantes, France. cedric.bretonniere@orange.fr
Touzeau
C
C
Guillaume
T
T
Coste-Burel
M
M
Moreau
A
A
Hamidou
M
M
Guitton
C
C
Villers
D
D
D000258:Adenovirus Infections, Human / Q000209:etiology; D000328:Adult; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology