To date, all the reported cases of acute necrotizing tubulointerstitial nep
hritis (TIN) secondary to systemic adenovirus infection have occurred in in
dividuals with primary or secondary immunodeficiency, and have resulted in
renal failure and death. We present the case of a 12-year-old, immunologica
lly competent girl who developed acute necrotizing TIN with acute renal fai
lure (ARF), hepatitis and meningoencephalitis secondary to a systemic adeno
viral infection who completely recovered with supportive care.