Jordan S W, McLaren L C, Crosby J H
Arch Intern Med. 1975 Jun;135(6):784-8. doi: 10.1001/archinte.135.6.784.
Tracheobronchitis due to herpes simplex virus is a well-recognized finding in cases of burns, debilitation, or immunosuppression. Nearly all reported cases have been diagnosed at necropsy despite the possibility for clinical detection of such infections by exfoliative cytological studies, virus isolation and identification, or both. The present report details the cytologic and virologic diagnosis of herpetic tracheobronchitis in a patient with carcinoma of the lung and alcoholic fatty liver. Respiratory cells with herpetic infection cytologically showed less tendency to multinucleation than the characteristic herpes-infected cells of squamous epithelium, which may be a source of diagnostic confusion.
单纯疱疹病毒所致气管支气管炎在烧伤、身体虚弱或免疫抑制病例中是一种广为人知的表现。尽管通过脱落细胞学研究、病毒分离和鉴定或两者结合有可能对这类感染进行临床检测，但几乎所有报告的病例都是在尸检时才得以诊断。本报告详细介绍了一名肺癌和酒精性脂肪肝患者的疱疹性气管支气管炎的细胞学和病毒学诊断情况。细胞学上感染单纯疱疹病毒的呼吸道细胞形成多核的倾向低于鳞状上皮典型的疱疹感染细胞，这可能是诊断混淆的一个来源。
