TY - JOUR
T1 - Successful Brincidofovir Treatment of Metagenomics-detected Adenovirus Infection in a Severely Ill Signal Transducer and Activator of Transcription-1-deficient Patient
AU - Averbuch, Diana
AU - Safadi, Rifaat
AU - Dar, Daniel
AU - Wolf, Dana
AU - Cherniak, Meir
AU - Sorek, Rotem
AU - Amit, Sharon
N1 - Publisher Copyright:
© 2018 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2019/3/1
Y1 - 2019/3/1
N2 - A signal transducer and activator of transcription-1-deficient patient presented with prolonged fever, cachexia, anemia, hypoalbuminemia and finally relapsing debilitating mycobacterial osteomyelitis while receiving a previously effective antimycobacterial treatment. Progression despite rigorous workup and multiple antibiotics prompted shotgun metagenomics revealing adenovirus in liver samples. Brincidofovir led to a complete, sustained clinical recovery, including osteomyelitis, probably attributed to reversal of adenovirus-induced immune dysregulation.
AB - A signal transducer and activator of transcription-1-deficient patient presented with prolonged fever, cachexia, anemia, hypoalbuminemia and finally relapsing debilitating mycobacterial osteomyelitis while receiving a previously effective antimycobacterial treatment. Progression despite rigorous workup and multiple antibiotics prompted shotgun metagenomics revealing adenovirus in liver samples. Brincidofovir led to a complete, sustained clinical recovery, including osteomyelitis, probably attributed to reversal of adenovirus-induced immune dysregulation.
KW - STAT1 deficiency
KW - adenovirus
KW - brincidofovir
KW - shotgun metagenomics
UR - http://www.scopus.com/inward/record.url?scp=85061486592&partnerID=8YFLogxK
U2 - 10.1097/INF.0000000000002090
DO - 10.1097/INF.0000000000002090
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C2 - 29742642
AN - SCOPUS:85061486592
SN - 0891-3668
VL - 38
SP - 297
EP - 299
JO - Pediatric Infectious Disease Journal
JF - Pediatric Infectious Disease Journal
IS - 3
ER -