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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.
Abstract:
A 6 months old female infant presented with history of fever, cough and severe respiratory distress. There was past history of recurrent attacks of pneumonia. She succumbed to the illness after a hospital stay of 7 days. Postmortem revealed morphological evidence of cystic fibrosis along with herpes simplex infection of liver and adrenals. The co-existence of disseminated herpes simplex infection and cystic fibrosis is very rare.
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