Fatal adenoviral necrotizing bronchiolitis case in a post-cardiac surgery intensive care unit
AUTOR(ES)
Castelli, Jussara Bianchi, Siciliano, Rinaldo F, Vieira, Ricardo D, Aiello, Vera D, Strabelli, Tânia MV
FONTE
Brazilian Journal of Infectious Diseases
DATA DE PUBLICAÇÃO
2011-06
RESUMO
We report a case of a 67 year-old-male patient admitted to the intensive care unit in the post-coronary bypass surgery period who presented cardiogenic shock, acute renal failure and three episodes of sepsis, the latter with pulmonary distress at the 30th post-operative day. The patient expired within five days in spite of treatment with vancomycin, imipenem, colistimethate and amphotericin B. At autopsy severe adenovirus pneumonia was found. Viral pulmonary infections following cardiovascular surgery are uncommon. We highlight the importance of etiological diagnosis to a correct treatment approach.
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