Disseminated adenovirus infection causing severe ARDS

摘要: A previously healthy young man with a rare genetic condition presented severe acute respiratory distress syndrome secondary to pneumonia septic shock. He did not improve conventional therapy for his known causal organism thus prompting further workup. was found be profoundly immunosuppressed raising our suspicion atypical organisms. bronchoalveolar lavage sample positive via PCR adenovirus which we suspect exacerbated pre-existing bacterial and led non-responsive failure. His serum load markedly elevated. Treatment started once the diagnosis of disseminated infection made; however, at that time patient suffering from refractory hypoxaemia, acidosis, right heart failure Despite maximal supportive measures ultimately expired over course 6 days.