Herpes simplex viral pneumonia in the postthoracotomy patient.

Camazine, B; Antkowiak, J G; Nava, M E; Lipman, B J; Takita, H · Chest · 1995

case_report · Level V

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Abstract

Over a 6-month period, 6 of 54 postthoracotomy patients developed pneumonia and respiratory failure. Pneumonia was secondary to herpes simplex virus type 1 in 3 of the 6 patients. Diagnostic efforts including bronchoscopy with bronchial washing, viral cultures, and cytologic examination permitted early diagnosis and successful treatment with acyclovir. A high index of suspicion for herpes simplex pneumonia must be maintained in critically ill patients with undiagnosed pneumonia.

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