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In the pediatric setting, adenoviruses were demonstrated to persist in the gastrointestinal tract, and the intestinal epithelium serves as the main site of viral replication preceding invasive infection. Regular monitoring of serial stool samples for the presence and load of adenoviruses has therefore become a routine diagnostic tool for post\u2010transplant patient surveillance, and can serve as a trigger for early initiation of treatment. In the adult setting, the source of infection or reactivation is less clear, and monitoring of peripheral blood specimens is the predominant approach for patient surveillance. Timely initiation of antiviral treatment is reportedly required for prevention or successful control of disseminated disease mediated by adenoviruses, and appropriate diagnostic monitoring is therefore of paramount importance. Currently available antiviral agents and immune therapeutic approaches have not been able to entirely overcome the life\u2010threatening courses of invasive adenoviral infections in the immunocompromised clinical setting.<\/jats:p>","DOI":"10.1002\/1873-3468.13576","type":"journal-article","created":{"date-parts":[[2019,8,14]],"date-time":"2019-08-14T10:26:09Z","timestamp":1565778369000},"page":"3571-3582","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":151,"title":["Adenovirus persistence, reactivation, and clinical management"],"prefix":"10.1002","volume":"593","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9346-0994","authenticated-orcid":false,"given":"Thomas","family":"Lion","sequence":"first","affiliation":[{"name":"St.Anna Children\u2032s Cancer Research Institute (CCRI) Department of Pediatrics Medical University of Vienna 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