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Herpes Simplex Virus Pneumonia: Importance of Aspiration Etiology
Joint Authors
Odani, Kentaro
Tachibana, Mitsuhiro
Tamashima, Rintaro
Tsutsumi, Yutaka
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-12-10
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Herpes simplex virus (HSV) pneumonia caused by aspiration from the oropharyngeal exudates is described.
An 89-year-old Japanese male in a poor performance state complained of appetite loss followed by difficulty in swallowing, and bilateral pulmonary infiltrates with interstitial reactions were radiologically pointed out.
Antibiotics administration was ineffective, and he died on the 6th day of hospitalization.
At autopsy, HSV-induced multiple mucosal erosions were observed on the tongue, pharynx, epiglottis, and trachea.
In bilateral lower lobes of the lung, HSV infected bronchiolar and type-II alveolar cells in association with acute interstitial reactions.
The infected cells with intranuclear inclusion bodies were immunoreactive with HSV antiserum.
HSV-1 infection was confirmed by immunostaining with monospecific monoclonal antibodies and by type-specific real-time polymerase chain reaction.
It is very likely that HSV pneumonia was provoked by aspiration of infected exudates from the upper airway (namely, sequential infection from the tongue, epiglottis, and trachea to lung).
Oropharyngeal herpes might cause anorexia and difficulty in swallowing, probably accelerating aspiration.
The medical staff did not recognize the oropharyngeal lesions of this aged patient.
We must realize again the importance of oral care for hospitalized patients to avoid aspiration pneumonia, including herpetic pneumonia.
American Psychological Association (APA)
Odani, Kentaro& Tachibana, Mitsuhiro& Tamashima, Rintaro& Tsutsumi, Yutaka. 2019. Herpes Simplex Virus Pneumonia: Importance of Aspiration Etiology. Case Reports in Pathology،Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1143548
Modern Language Association (MLA)
Odani, Kentaro…[et al.]. Herpes Simplex Virus Pneumonia: Importance of Aspiration Etiology. Case Reports in Pathology No. 2019 (2019), pp.1-3.
https://search.emarefa.net/detail/BIM-1143548
American Medical Association (AMA)
Odani, Kentaro& Tachibana, Mitsuhiro& Tamashima, Rintaro& Tsutsumi, Yutaka. Herpes Simplex Virus Pneumonia: Importance of Aspiration Etiology. Case Reports in Pathology. 2019. Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1143548
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143548