We report on the effectiveness of intravenous ribavirin for severe adenovir
al pneumonia in a 10-month-old male following orthotopic liver transplantat
ion. On day 20 posttransplantation, he developed high fever, marked respira
tory compromise, and hypoxemia. The chest radiograph showed bilateral pulmo
nary infiltrates. Samples of bronchoalveolar lavage fluid grew adenovirus,
serotype 1. Marked clinical and radiological improvement was noted after in
travenous ribavirin therapy. A prospective clinical trial is needed to dete
rmine the efficacy of ribavirin therapy for severe adenovirus disease. (C)
2000 Wiley-Liss, Inc.