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A case report of tracheobronchitis by herpes simplex virus, type I.

Kim DS, Kim SJ, Lee YW, Hong SR, Ko IH - Korean J. Intern. Med. (1986)

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ABSTRACT

Herpes simplex virus (HSV) infection of the lung and lower respiratory tract has been thought to be a rare and fatal disease, usually in patients with immunosuppression, severe burns, or prolonged intubation. However, recently, increasing numbers of patients have been reported to have a localized infection and some of them have recovered without specific therapy.

In Korea, there has been yet no proven case of HSV infection of the lower respiratory tract. Recently, we saw a case of localized HSV infection of the tracheobronchus. A 78-year-old male patient was admitted in acute respiratory failure, with COPD and old pulmonary trberculosis. After the clinical condition improved, a bronchoscopy was done which revealed a localized area of swelling, hyperemia, and mucosal irregularity at the lower trachea and right upper lobar bronchus. Bronchial brushing and biopsy showed typical cytologic changes including intranuclear inclusion body. Viral culture of a bronchial washing revealed a growth of HSV, type I. The patient died of unrelated, acute myocardial linfarction.

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Chest X-ray at the time of admission. Streaky and patchy densities with volume loss are seen on right upper lung with both lower lung infiltration.
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f1-kjim-1-2-249-18: Chest X-ray at the time of admission. Streaky and patchy densities with volume loss are seen on right upper lung with both lower lung infiltration.

Mentions: Hemoglobin was 12.1gm%, and WBC count was 28.000/mm3 with 90% neutrophils. An ECG revealed sinus tachycardia and left ventricular hypertrophy. Blood chemistry was normal except for mild hypoalbuminemia (2.7gm%). Arterial blood gas analysis on room air showed PO2 of 30mmHg, and PCO2 of 48mmHg. With 2L/min oxygen, PO2 was 50mmHg and PCO2 was 56 mmHg. Chest X-ray showed right upper lobe collapse and bilateral lower lung infiltration (Fig. 1).


A case report of tracheobronchitis by herpes simplex virus, type I.

Kim DS, Kim SJ, Lee YW, Hong SR, Ko IH - Korean J. Intern. Med. (1986)

Chest X-ray at the time of admission. Streaky and patchy densities with volume loss are seen on right upper lung with both lower lung infiltration.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4536714&req=5

f1-kjim-1-2-249-18: Chest X-ray at the time of admission. Streaky and patchy densities with volume loss are seen on right upper lung with both lower lung infiltration.
Mentions: Hemoglobin was 12.1gm%, and WBC count was 28.000/mm3 with 90% neutrophils. An ECG revealed sinus tachycardia and left ventricular hypertrophy. Blood chemistry was normal except for mild hypoalbuminemia (2.7gm%). Arterial blood gas analysis on room air showed PO2 of 30mmHg, and PCO2 of 48mmHg. With 2L/min oxygen, PO2 was 50mmHg and PCO2 was 56 mmHg. Chest X-ray showed right upper lobe collapse and bilateral lower lung infiltration (Fig. 1).

View Article: PubMed Central - PubMed

ABSTRACT

Herpes simplex virus (HSV) infection of the lung and lower respiratory tract has been thought to be a rare and fatal disease, usually in patients with immunosuppression, severe burns, or prolonged intubation. However, recently, increasing numbers of patients have been reported to have a localized infection and some of them have recovered without specific therapy.

In Korea, there has been yet no proven case of HSV infection of the lower respiratory tract. Recently, we saw a case of localized HSV infection of the tracheobronchus. A 78-year-old male patient was admitted in acute respiratory failure, with COPD and old pulmonary trberculosis. After the clinical condition improved, a bronchoscopy was done which revealed a localized area of swelling, hyperemia, and mucosal irregularity at the lower trachea and right upper lobar bronchus. Bronchial brushing and biopsy showed typical cytologic changes including intranuclear inclusion body. Viral culture of a bronchial washing revealed a growth of HSV, type I. The patient died of unrelated, acute myocardial linfarction.

Show MeSH
Related in: MedlinePlus