title: Cutaneous involvement of disseminated adenovirus infection in an allogeneic stem cell transplant recipient.
abstract: Infection by human adenoviruses can lead to significant morbidity and mortality in immunocompromised hosts, such as allogeneic stem cell transplant (SCT) recipients, with limited effective treatment options. Specific cutaneous manifestations of disseminated adenovirus infection are not well described. We report a woman in her twenties who received an allogeneic T-cell-depleted peripheral blood SCT for the treatment of severe aplastic anaemia and, 5 months post-transplant, was hospitalized for severe systemic adenovirus infection with progressive involvement of the colon, liver and lungs. Despite therapy with intravenous cidofovir, oral brincidofovir and intravenous immunoglobulin, she had progression of adenoviraemia and dissemination of adenoviral disease. The patient developed a progressive rash characterized by keratotic papules that began on the palms and soles and spread to the entire body. Histopathological examination of skin biopsies of individual skin lesions from the palm and abdomen showed focal acantholytic dyskeratosis and keratinocytes with hyperchromatic nuclei. Several keratinocyte nuclei were immunoreactive for adenovirus. The patient was further treated with ribavirin and adenovirus-specific cytotoxic T lymphocytes but experienced multisystem progression of adenovirus infection culminating in death.
authors.affiliation: Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, U.S.A.
authors.forename: A
authors.initials: A
authors.lastname: Keyes
authors.affiliation: Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, U.S.A.
authors.forename: M
authors.initials: M
authors.lastname: Mathias
authors.affiliation: Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, U.S.A.
authors.forename: F
authors.initials: F
authors.lastname: Boulad
authors.affiliation: Infectious Disease Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, U.S.A.
authors.forename: Y J
authors.initials: YJ
authors.lastname: Lee
authors.affiliation: Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, U.S.A.
authors.forename: M A
authors.initials: MA
authors.lastname: Marchetti
authors.affiliation: Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, U.S.A.
authors.forename: A
authors.initials: A
authors.lastname: Scaradavou
authors.affiliation: Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, U.S.A.
authors.forename: B
authors.initials: B
authors.lastname: Spitzer
authors.affiliation: Infectious Disease Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, U.S.A.
authors.forename: G A
authors.initials: GA
authors.lastname: Papanicolaou
authors.affiliation: Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, U.S.A.
authors.forename: I
authors.initials: I
authors.lastname: Wieczorek
authors.affiliation: Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, U.S.A.
authors.forename: K J
authors.initials: KJ
authors.lastname: Busam