Disseminated herpes simplex infection with cystic fibrosis: a case report

Richa Goyal1, Ritambhra Nada, Ashim Das

  • 1Department of Pathology, PGIMER, Chandigarh.

Insights

A rare case of cystic fibrosis and disseminated herpes simplex infection in an infant highlights diagnostic challenges. This fatal co-infection underscores the need for comprehensive evaluation in infants with recurrent respiratory issues.

Area of Science:

  • Pediatric Pathology
  • Infectious Diseases
  • Genetic Disorders

Background:

  • Cystic Fibrosis (CF) is a genetic disorder affecting multiple organs, primarily the lungs.
  • Herpes Simplex Virus (HSV) infection can cause severe illness in infants, particularly those who are immunocompromised.
  • Recurrent pneumonia in infants warrants thorough investigation for underlying conditions.

Observation:

  • A 6-month-old infant presented with fever, cough, and severe respiratory distress, with a history of recurrent pneumonia.
  • Despite medical intervention, the infant's condition deteriorated, leading to death within 7 days of hospitalization.
  • Postmortem examination revealed characteristic features of cystic fibrosis.

Findings:

  • The autopsy identified disseminated herpes simplex infection affecting the liver and adrenal glands.
  • This case documents the extremely rare co-existence of cystic fibrosis and disseminated herpes simplex infection.
  • The combined pathology likely contributed to the infant's rapid decline and fatal outcome.

Implications:

  • This case highlights the diagnostic complexity when rare co-infections occur in infants with known genetic disorders.
  • It emphasizes the importance of considering opportunistic infections in infants diagnosed with cystic fibrosis.
  • Further research may be needed to understand the interaction between cystic fibrosis and viral infections like HSV.

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