Herpes Simplex Virus Pneumonia in an Immunocompetent Child on Corticosteroids for Acute Wheezing
| Autor: | Reuven Tsabari, Eitan Kerem, Naama Pines, Joel Reiter |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty medicine.drug_class viruses Pneumonia Viral Antibiotics Acyclovir 030204 cardiovascular system & hematology medicine.disease_cause Antiviral Agents 03 medical and health sciences 0302 clinical medicine Adrenal Cortex Hormones Internal medicine medicine Humans Simplexvirus In patient 030212 general & internal medicine Child Immunodeficiency Respiratory Sounds business.industry Herpes Simplex General Medicine Emergency department medicine.disease Discontinuation Pneumonia medicine.anatomical_structure Herpes simplex virus Pediatrics Perinatology and Child Health Emergency Medicine business Respiratory tract |
| Zdroj: | Pediatric Emergency Care. |
| ISSN: | 0749-5161 |
| Popis: | Herpes simplex virus (HSV) is rarely the cause of pneumonia in immunocompetent patients. We describe a previously healthy child, with no evidence of an immunodeficiency, who presented to the emergency department with severe pneumonia, wheezing, and pleural effusions with a history of orolabial HSV infection. On admission, he was started on antibiotics and systemic corticosteroids but continued to deteriorate. Oral lesions, blood, and pleural fluid tested positive for HSV, and improvement was achieved only after the addition of acyclovir and discontinuation of steroids. We suggest that steroids should be used with caution in patients presenting with lower respiratory tract symptoms and herpetic oral lesions. |
| Databáze: | OpenAIRE |
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