Case Report

Published: Nov 10, 2024 | DOI: 10.24911/ejmcr.173-1713245325

Severe Adenovirus Infections in Young Adults


Authors: Ghadi Zebian , Aurelie Guigon , Christos Gkizas , Sebastien Preau orcid logo , Arthur Durand


Article Info

Authors

Ghadi Zebian

 CHU Lille, Service de Médecine Intensive - Réanimation, Lille, France.

Aurelie Guigon

CHU de Lille, Laboratoire de Virologie, Centre de Biologie Pathologie, Lille, France.

Christos Gkizas

CHU de Lille, Service de Radiologie, Lille, France.

Sebastien Preau

CHU Lille, Service de Médecine Intensive - Réanimation, Lille, France.

orcid logo ORCID

Arthur Durand

CHU Lille, Service de Médecine Intensive - Réanimation, Lille, France.

Publication History

Received: April 16, 2024

Accepted: September 02, 2024

Published: November 10, 2024


Abstract


Background: Despite traditionally affecting individuals with compromised immune systems, severe human adenoviruses (HAdV) infections have been observed in young adults without immunodeficiency over recent decades.
Case Presentation: This case study documents two young patients infected with HAdV who experienced multi-organ failure, manifesting as respiratory distress, vasoplegia, myocardial injury, and kidney impairment. The resolution of organ failure correlated with the clearance of viral load, suggesting a potential prognostic indicator for infection outcomes. While the first case demonstrated a positive outcome with the resolution of viremia, regrettably, the second case succumbed to myocardial infarction followed by cardiac arrest. The use of cardiac monitoring may aid in the identification of significant myocardial complications associated with HAdV. Although various treatments, including the antiviral CIDOFOVIR, have been reported for immunocompromised individuals, it was not administered to our patients due to the favorable trajectory of the first case.
Tragically, the second case passed away before any potential antiviral intervention could be initiated.
Conclusion: HAdV infections can cause severe acute respiratory distress syndrome with multi-organ failure including severe cardiac complications in young non-immunocompromised adults.


Keywords: Case report, adenovirus, acute respiratory distress syndrome, intensive care unit, extracorporeal membrane oxygenation, pneumonia, viral pneumonia.


Pubmed Style

Ghadi Zebian, Aurelie Guigon, Christos Gkizas, Sebastien Preau, Arthur Durand. Severe Adenovirus Infections in Young Adults. EJMCR. 2024; 10 (November 2024): -. doi:10.24911/ejmcr.173-1713245325

Web Style

Ghadi Zebian, Aurelie Guigon, Christos Gkizas, Sebastien Preau, Arthur Durand. Severe Adenovirus Infections in Young Adults. https://ejmcr.com/articles/1557 [Access: December 22, 2024]. doi:10.24911/ejmcr.173-1713245325

AMA (American Medical Association) Style

Ghadi Zebian, Aurelie Guigon, Christos Gkizas, Sebastien Preau, Arthur Durand. Severe Adenovirus Infections in Young Adults. EJMCR. 2024; 10 (November 2024): -. doi:10.24911/ejmcr.173-1713245325

Vancouver/ICMJE Style

Ghadi Zebian, Aurelie Guigon, Christos Gkizas, Sebastien Preau, Arthur Durand. Severe Adenovirus Infections in Young Adults. EJMCR. (2024), [cited December 22, 2024]; 10 (November 2024): -. doi:10.24911/ejmcr.173-1713245325

Harvard Style

Ghadi Zebian, Aurelie Guigon, Christos Gkizas, Sebastien Preau, Arthur Durand (2024) Severe Adenovirus Infections in Young Adults. EJMCR, 10 (November 2024): -. doi:10.24911/ejmcr.173-1713245325

Chicago Style

Ghadi Zebian, Aurelie Guigon, Christos Gkizas, Sebastien Preau, Arthur Durand. "Severe Adenovirus Infections in Young Adults." 10 (2024), -. doi:10.24911/ejmcr.173-1713245325

MLA (The Modern Language Association) Style

Ghadi Zebian, Aurelie Guigon, Christos Gkizas, Sebastien Preau, Arthur Durand. "Severe Adenovirus Infections in Young Adults." 10.November 2024 (2024), -. Print. doi:10.24911/ejmcr.173-1713245325

APA (American Psychological Association) Style

Ghadi Zebian, Aurelie Guigon, Christos Gkizas, Sebastien Preau, Arthur Durand (2024) Severe Adenovirus Infections in Young Adults. , 10 (November 2024), -. doi:10.24911/ejmcr.173-1713245325