Treatment of Severe Adenovirus Infection With <scp>HAdV</scp> ‐ <scp>B21</scp> in a Young Obese Male With Normal Immunity

Adenovirus infections are usually mild, but rare serotypes like "HAdV-B21" can cause severe pneumonia even in healthy individuals. We report a 32-year-old immunocompetent obese male who developed life-threatening HAdV-B21 pneumonia (PaO<sub>2</sub>/FiO<sub>2</sub> 62 mmHg), requiring mechanical ventilation. Successful treatment included ribavirin, corticosteroids, and prone positioning, avoiding ECMO. This case demonstrates the potential severity of rare adenovirus strains and supports combined antiviral/anti-inflammatory therapy for such infections.

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Publication Details

Journal
Clinical Case Reports
Published
2025-10-01
DOI
https://doi.org/10.1002/ccr3.71109
Primary Topic
Virus-based gene therapy research
Type
article
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article

Treatment of Severe Adenovirus Infection With HAdV ‐ B21 in a Young Obese Male With Normal Immunity

Shili Zhong, Zhen Wang, Peng Ji
Clinical Case Reports
Virus-based gene therapy research
article

Treatment of Severe Adenovirus Infection With HAdV ‐ B21 in a Young Obese Male With Normal Immunity

Shili Zhong, Zhen Wang, Peng Ji
article en

Abstract

Adenovirus infections are usually mild, but rare serotypes like "HAdV-B21" can cause severe pneumonia even in healthy individuals. We report a 32-year-old immunocompetent obese male who developed life-threatening HAdV-B21 pneumonia (PaO<sub>2</sub>/FiO<sub>2</sub> 62 mmHg), requiring mechanical ventilation. Successful treatment included ribavirin, corticosteroids, and prone positioning, avoiding ECMO. This case demonstrates the potential severity of rare adenovirus strains and supports combined antiviral/anti-inflammatory therapy for such infections.

Clinical Case ReportsVol. 13(10)
Army Medical University (CN), Red Cross Hospital (GR), First People's Hospital of Chongqing (CN)
Openalex Percentile: Top 68%
Virus-based gene therapy research
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Treatment of Severe Adenovirus Infection With <scp>HAdV</scp> ‐ <scp>B21</scp> in a Young Obese Male With Normal Immunity — Shili Zhong, Zhen Wang, et al. · Clinical Case Reports (2025) | TGRS Research Map | TGRS