title: Fatal adenoviral necrotizing bronchiolitis case in a post-cardiac surgery intensive care unit.
abstract: We report a case of a 67 year-old-male patient admitted to the intensive care unit in the post-coronary 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.
authors.affiliation: Laboratory of Pathology, Instituto do Coração, Medical School, Universidade de São Paulo, Brazil. jussara.castelli@incor.usp.br
authors.forename: Jussara Bianchi
authors.initials: JB
authors.lastname: Castelli
authors.forename: Rinaldo F
authors.initials: RF
authors.lastname: Siciliano
authors.forename: Ricardo D
authors.initials: RD
authors.lastname: Vieira
authors.forename: Vera D
authors.initials: VD
authors.lastname: Aiello
authors.forename: Tânia Mv
authors.initials: TM
authors.lastname: Strabelli
mesh_terms: D000258:Adenovirus Infections, Human / Q000473:pathology*; D000368:Aged; D001990:Bronchiolitis, Viral / Q000473:pathology* / Q000821:virology; D001026:Coronary Artery Bypass; D017809:Fatal Outcome; D006331:Heart Diseases / Q000601:surgery; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D009336:Necrosis; D011183:Postoperative Complications / Q000473:pathology* / Q000821:virology