Boland Alison C, Iveson Elizabeth H, Elliott Mark W
Department of respiratory medicine, St James's university hospital, Leeds, UK.
J Med Case Rep. 2007 Sep 19;1:91. doi: 10.1186/1752-1947-1-91.
Chronic obstructive pulmonary disease (COPD) is a common cause of morbidity in the UK and is increasingly seen in elderly patients, often requiring multiple courses of steroids. We present a case of a 72 year old lady with repeated exacerbations of COPD which did not respond to conventional treatment. Herpes simplex virus (HSV1) tracheobronchitis was diagnosed following a rigid bronchoscopy and her symptoms improved with intravenous acyclovir. This is the first published case of HSV tracheitis in a non immunosuppressed individual with chronic lung disease.
慢性阻塞性肺疾病（COPD）是英国常见的发病原因，在老年患者中越来越常见，常常需要多次使用类固醇疗程。我们报告一例72岁女性患者，其COPD反复加重，对传统治疗无反应。在硬支气管镜检查后诊断为单纯疱疹病毒（HSV1）气管支气管炎，静脉注射阿昔洛韦后其症状改善。这是首例在非免疫抑制的慢性肺病个体中发表的HSV气管炎症病例。
