Successful Brincidofovir Treatment of Metagenomics-detected Adenovirus Infection in a Severely Ill Signal Transducer and Activator of Transcription-1-deficient Patient

Diana Averbuch*, Rifaat Safadi, Daniel Dar, Dana Wolf, Meir Cherniak, Rotem Sorek, Sharon Amit

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)297-299
Number of pages3
JournalPediatric Infectious Disease Journal
Volume38
Issue number3
DOIs
StatePublished - 1 Mar 2019
Externally publishedYes

Keywords

  • STAT1 deficiency
  • adenovirus
  • brincidofovir
  • shotgun metagenomics

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