急性疹简单病毒喉炎呈现为气道阻塞 后流感:一种病毒性肺炎
Tyler W Boyd1, Sachin M Patil1, Jason Sinclair2
1Department of Internal Medicine, Division of Pulmonary, Critical Care and Environmental Medicine, University of Missouri Health Care, Columbia, USA.
Cureus
|October 24, 2023
概括
简单疹病毒 (HSV) 喉炎在成年人中很少见,经常呈现出严重的呼吸道损害. 这一案例突出了在免疫功能低下的老年患者中成功诊断和治疗阿西克洛维尔的成功.
科学领域:
- 传染性疾病 传染性疾病
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 病毒学 病毒学
背景情况:
- 简单疹病毒 (HSV) 通常会导致粘膜皮肤或生殖器损伤.
- 喉感染 (喉炎) 在成人中很少见,通常在婴儿和儿童中见到,并且通常与严重的免疫性损害有关.
研究的目的:
- 报告一位老年女性罕见的单纯疹病毒喉炎病例.
- 强调成年HSV喉炎的诊断挑战和成功治疗结果.
主要方法:
- 一个71岁的女性患有A型流感和细菌性肺炎,需要输管治疗的病例报告.
- 诊断包括临床表现,由于斯特里多的原因导致输出失败,袖口泄漏测试,气管切除术和喉活检.
- 通过组织活检确认了简单疹病毒.
主要成果:
- 患者经历了严重的喉胀和呼吸道损伤,需要气管切除术.
- 通过喉活检证实了简单疹病毒感染.
- 使用阿西克洛维尔的抗病毒治疗导致了成功的康复.
结论:
- 简单疹病毒喉炎可以发生在免疫功能低下的成年人身上,表现为非特异性症状和潜在的呼吸道紧急情况.
- 通过活检及时诊断和启动抗病毒治疗对于管理严重病例至关重要.
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