SciELO - Scientific Electronic Library Online

vol.147 número2Hepatitis sifilítica: reporte de una serie de casos índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google


Revista médica de Chile

versión impresa ISSN 0034-9887


FICA, Alberto et al. Fatal nosocomial hemorrhagic enterocolitis probably caused by adenovirus. Report of one case. Rev. méd. Chile [online]. 2019, vol.147, n.2, pp.256-260. ISSN 0034-9887.

Adenovirus (ADV) is a recognized cause of severe disease among immunocompromised patients. We report a previously healthy 39-year-old female, admitted with influenza pneumonia and evolving with lung hemorrhage and acute renal failure requiring mechanical ventilation and hemodialysis. She received high corticosteroid doses due to an initial suspicion of alveolar hemorrhage. Lymphopenia already present before steroid use (567/μL), was maintained during the whole hospital stay (mean 782/μL). From the second week of admission she presented a high-volume diarrhea (mean 2.5 L/day) associated to intermittent bloody stools. An ulcerative enterocolitis was confirmed by CT images and colonoscopy. ADV was detected in a colonic tissue sample by real time PCR but not by a commercial filmarray test. Cidofovir-probenecid and racecadotril therapy were indicated without changing the clinical course of diarrhea and the patient finally died.

Palabras clave : Acute Kidney Injury; Adenoviridae; Adrenal Cortex Hormones; Cross Infection; Enterocolitis.

        · resumen en Portugués     · texto en Inglés     · Inglés ( pdf )