Pollard R B
Chest. 1975 Oct;68(4):589-91. doi: 10.1378/chest.68.4.589.
Metabolic abnormalities compatible with inappropriate secretion of ADH developed during the course of severe viral pneumonia in a 17-year-old Navy recruit. With a regimen of strict fluid restriction, normalization of these abnormalities occurred. Marked leukopenia and hypoxia were also present, but gradually improved with resolution of the pneumonia. Inappropriate ADH secretion has been associated most often with bacterial pneumonia and this patient represents one of the few with viral pneumonia complicated by this syndrome. While the previous cases were assoicated with influenza virus, this patient was infected with adenovirus-7 which is endemic in the military recruit population.
一名17岁的海军新兵在严重病毒性肺炎病程中出现了与抗利尿激素分泌不当相符的代谢异常。通过严格限制液体摄入的方案，这些异常得以恢复正常。患者还出现了明显的白细胞减少和低氧血症，但随着肺炎的消退逐渐改善。抗利尿激素分泌不当最常与细菌性肺炎相关，该患者是少数并发此综合征的病毒性肺炎病例之一。此前的病例多与流感病毒有关，而该患者感染的是腺病毒7型，这在新兵群体中呈地方性流行。
