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Journal of Pediatric Hematology/Oncology:
doi: 10.1097/MPH.0000000000000224
Clinical and Laboratory Observations: PDF Only

Successful Treatment of Disseminated Adenovirus Infection in an Infant With Acute Lymphoblastic Leukemia.

Alcamo, Alicia M. MD, MPH; Pinchasik, Dawn E. MD, MS; Mo, Jun Qin MD; Grimley, Michael S. MD; O’Brien, Maureen M. MD, MS

Published Ahead-of-Print
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Abstract

Systemic adenovirus infection in the immunocompromised host is often fatal and therapeutic options are limited. We report an infant with acute lymphoblastic leukemia who developed disseminated adenovirus infection while lymphopenic during maintenance chemotherapy 6 months following a bout of adenoviral diarrhea. His serum adenoviral load peaked at 35 million copies/mL and was associated with pancytopenia and hepatic injury. Treatment with cidofovir was effective although associated with mild renal injury. The patient recovered fully and completed chemotherapy for infant acute lymphoblastic leukemia.

(C) 2014 by Lippincott Williams & Wilkins.

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