Adenovirus Infection in Adult Orthotopic Liver Transplant Recipients: Incidence and Clinical Significance

Adenovirus infection occurs in 10% of pediatric orthotopic liver transplant recipients; however, no cases have been described in adult liver transplant recipients. A retrospective review of 191 adults who underwent liver transplantation from January 1988 through October 1995 was done to describe the...

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Veröffentlicht in:The Journal of infectious diseases 1998-02, Vol.177 (2), p.459-462
Hauptverfasser: McGrath, Donnie, Falagas, Matthew E., Freeman, Richard, Rohrer, Richard, Fairchild, Ralph, Colbach, Christine, Snydman, David R.
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container_end_page 462
container_issue 2
container_start_page 459
container_title The Journal of infectious diseases
container_volume 177
creator McGrath, Donnie
Falagas, Matthew E.
Freeman, Richard
Rohrer, Richard
Fairchild, Ralph
Colbach, Christine
Snydman, David R.
description Adenovirus infection occurs in 10% of pediatric orthotopic liver transplant recipients; however, no cases have been described in adult liver transplant recipients. A retrospective review of 191 adults who underwent liver transplantation from January 1988 through October 1995 was done to describe the incidence and clinical significance of adenovirus infection in this population. There were 11 (5.8%) patients with 16 cultures positive for adenovirus. Sites of isolation were urine (9), blood (2), liver biopsy (2), colonic biopsy (1), lung biopsy (1), and stool (1). Adenovirus infection was classified as either disease or asymptomatic infection. There were 7 cases of adenovirus disease (2 definite, 1 probable, and 4 possible). Disease was disseminated in 3 patients: All had pneumonia and 2 died. Of the 3 patients with pneumonia, 2 had evidence of multiorgan involvement. Adenovirus disease occurs in adult orthotopic liver transplant recipients and may be associated with significant morbidity and occasional mortality.
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source Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE
subjects Adenoviridae - growth & development
Adenoviridae - isolation & purification
Adenoviridae infections
Adenovirus Infections, Human - blood
Adenovirus Infections, Human - epidemiology
Adenovirus Infections, Human - urine
Adenoviruses
Adolescent
Adult
Biological and medical sciences
Biopsies
Biopsy
Cells, Cultured
Colon - virology
Concise Communications
Feces - virology
Hepatitis
Humans
Incidence
Infections
Liver
Liver - virology
Liver Transplantation - adverse effects
Liver, biliary tract, pancreas, portal circulation, spleen
Lung - virology
Medical sciences
Middle Aged
Pneumonia, Viral - diagnosis
Pneumonia, Viral - mortality
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Transplantation
Urine
Urologic diseases
Viruses
title Adenovirus Infection in Adult Orthotopic Liver Transplant Recipients: Incidence and Clinical Significance
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