Most
adenovirus infections are self-limiting in immunocompetent individuals. Here, we report a case of adenovirus
pneumonia in a 17-year-old immunocompetent male. He was admitted to our emergency room complaining of a febrile sense,
cough, and
diarrhea for four days.
Crackles in the left lung and a high
fever (40.7 °C) were revealed. Initial chest X-ray and computed tomography images showed consolidation in the left lung. We immediately started empirical
antibiotic treatment, but his clinical symptoms and pneumonic consolidation in radiography had not improved by hospital day three. Because adenovirus was detected in his sputum using RT-PCR, he was administered
Cidofovir. After 24 h of
Cidofovir treatment, the symptoms and
fever subsided, and the consolidation in his X-ray was significantly reduced by hospital day nine. The early administration of
Cidofovir could be beneficial for the treatment of
adenovirus infection in immunocompetent patients.