en
Scientific article
Case report
English

Adenovirus-induced Obstructive Uropathy With Acute Renal Failure in an Immunodeficient Child

Published inUrology, vol. 83, no. 1, p. 217-219
Publication date2014
Abstract

Viral infections represent severe complications in immunodeficient patients, associated with significant morbidity and mortality. We report a case of a bone marrow-transplanted adolescent with hemorrhagic cystitis 4 weeks after transplant, associated with renal failure because of obstructive pyelonephritis. Diagnostic workup finally revealed adenovirus infection. A double-J stent was inserted with spontaneous favorable evolution thereafter. Adenovirus infection in an immunocompromised patient can cause hemorrhagic cystitis without specific symptoms and might evolve toward obstructive pyelonephritis because of tubular necrosis. Diagnosis is made by urine culture and/or blood polymerase chain reaction. In case of fatal dissemination, diagnosis might only be revealed on autopsy.

Keywords
  • Adenovirus
  • Uropathy
  • Renal failure
  • Immundeficiency
Citation (ISO format)
MONTARULI, Ernesto et al. Adenovirus-induced Obstructive Uropathy With Acute Renal Failure in an Immunodeficient Child. In: Urology, 2014, vol. 83, n° 1, p. 217–219. doi: 10.1016/j.urology.2013.09.018
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Article (Published version)
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Identifiers
ISSN of the journal1527-9995
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Creation08/12/2014 7:49:00 PM
First validation08/12/2014 7:49:00 PM
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