Indian Journal of Respiratory Care

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VOLUME 3 , ISSUE 1 ( January-June, 2014 ) > List of Articles

CASE REPORT

A case study of polymicrobial pneumonia

M Puneetha, Mohankumar Thekkinkattil

Keywords : Candida, fleeting pneumonitis, herpes simplex nuis, polymicrobial

Citation Information : Puneetha M, Thekkinkattil M. A case study of polymicrobial pneumonia. Indian J Respir Care 2014; 3 (1):408-410.

DOI: 10.5005/ijrc-3-1-408

License: NA

Published Online: 01-12-2022

Copyright Statement:  NA


Abstract

A 34-year old woman, presented with high grade fever and productive cough for 10 days. She had history of recurrent lower respiratory tract infections for past four years. Her serial chest X-ray showed evidence of fleeting pneumonitis. She was tachypnoeic at rest but general examination was otherwise normal. Chest X-ray showed homogenous opacity in right lower zone. She was treated with piperacillin-tazobactam, clindamycin, azithromycin, bronchodilators and other supportive measures. Computerised tomography scan of the thorax showed multifocal areas of ground glass attenuation with inter lobular septal thickening in both lungs. Bronchial wash specimen for PCR analysis was positive for Staphylococcus aureus, Enterococcus species, Herpes simplex nuis, Cardida species, E coli and Pseudomonas arrogia. She was then started on acyclovir and voriconazole for one week. Repeat chest X-ray after one week showed radiological clearance. Patient became afebrile and improved symptomatically.


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  1. Aquino SL, Dunagan DP, Chiles C, Haponik EF. Herpes simplex virus 1 pneumonia : patterns on CT scan and conventional chest radiographs. J Comput Assist Tomogr 1998; 22: 795-800.
  2. Gasparetto EL, Escuissato DL, Inoue C, Marchiori E, Muller NL. Herpes simplex virus type 2 pneumonia after bone transplantation : HRCT findings in 3 patients. J Thorac Imaging 2005; 20:71-3.
  3. Herpes simplex pneumonia in a young immunocompetent man. E. Martinez, A. de Diego, A. Paradis, M. Perpina, M. Hernandez. Eur Respir J 1994; 7:1185–8.
  4. Herpes simplex virus pneumonia: high – resolution CT findings S Chong, T S Kim, E Y Cho. Br J Radiol 2010; 83(99):585-9.
  5. Sherry MK, Klainer As, Wolff M, Gerhard H. Herpetic tracheobronchitis. Ann Intern Med 1988; 109:229–33.
  6. Straus SE, Rooney JF, Sever JL, Seidlin M, NusinoffLehrman S, Cremer K. Herpes simplex virus infection: biology, treatment and prevention. Ann Intern Med 1985; 103:404–19
  7. Nash G, Foley FD. Herpetic infection of the middle and lower respiratory tract. Am J Clin Pathol 1970; 54 :857–63.
  8. Graham BS, Snell JD. Herpes simplex virus infection of the adult lower respiratory tract. Medicine 1983; 62:384–93.
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