Londergan T A, Walzak M P
Division of Urology, University of Connecticut Health Center, Farmington.
J Urol. 1994 Apr;151(4):1013-4. doi: 10.1016/s0022-5347(17)35153-4.
Immunocompromised patients are at significant risk for infection with adenovirus. We report 3 cases of hemorrhagic cystitis in patients following bone marrow transplantation. Of the patients 2 had positive viral urine cultures and 1 had positive stool culture but negative urine culture and biopsy proved viral cystitis. Diagnosis of adenovirus should be considered when gross hematuria follows bone marrow transplantation even when urine culture is negative for adenovirus.
免疫功能低下的患者感染腺病毒的风险很高。我们报告了3例骨髓移植后患者发生出血性膀胱炎的病例。其中2例患者尿液病毒培养呈阳性,1例患者粪便培养呈阳性但尿液培养阴性,活检证实为病毒性膀胱炎。即使尿液腺病毒培养为阴性,骨髓移植后出现肉眼血尿时也应考虑腺病毒感染的诊断。