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Published on: January 20, 2010
Tracheal pseudo-tumor caused by herpes simplex virus
Stamatis Katsenos1, Dimitrios Sampaziotis, Stavros Archondakis
1Department of Pneumonology, General Army Hospital of Athens, 158 Mesogion & Katehaki Avenue, 115 25 Athens, Greece. skatsenos@yahoo.gr.
Herpes simplex virus (HSV) can rarely cause airway tumors. This case study reports the first instance of an endotracheal tumor caused by HSV in an immunocompetent individual, highlighting a novel presentation of this viral infection.
Area of Science:
- Pulmonology
- Infectious Diseases
- Oncology
Background:
- Herpes simplex virus (HSV) commonly causes mucocutaneous infections.
- Pulmonary HSV manifestations are rare, typically occurring in severely immunocompromised or critically ill patients.
- Endobronchial tumor-like lesions due to HSV are exceptionally uncommon.
Observation:
- A 75-year-old male presented with persistent hoarseness.
- Fiberoptic bronchoscopy revealed significant mucosal thickening in the trachea, causing stenosis.
- Biopsy analysis confirmed cytopathological changes indicative of HSV types 1 and 2 infection.
Findings:
- The patient was immunocompetent.
- Histopathology confirmed HSV infection as the cause of the endotracheal tumor-like lesion.
- This represents the first documented case of an immunocompetent individual with an endotracheal tumor caused by HSV.
Implications:
- This case expands the spectrum of clinical presentations for herpes simplex virus.
- It suggests that HSV should be considered in the differential diagnosis of endotracheal tumors, even in immunocompetent patients.
- Further research may elucidate the mechanisms behind HSV-induced tracheal lesions in non-immunocompromised individuals.
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