The University of Texas Health Science Center, Houston Medical School, Houston, TX, USA.
J Intensive Care Med. 2010 Nov-Dec;25(6):307-26. doi: 10.1177/0885066610377969. Epub 2010 Sep 13.
Viral infections have always been considered pediatric diseases. However, viral pneumonia has become an important cause of morbidity and mortality in immuncompromised adults. Improved diagnostic techniques, such as the introduction of highly sensitive nucleic acid amplification tests, have not only allowed us to discover new viruses but also to determine the etiology of viral pneumonia in immunocompromised adult hosts. Unfortunately, only a few antiviral agents are available. Thus, early diagnosis and treatment are crucial to patient outcome. In this article, we review the most common viruses that have been implicated as etiologic agents of viral pneumonia in immunocompromised adults. We discuss the epidemiologic characteristics and clinical presentation of these viral infections and the most appropriate diagnostic approaches and therapies when available.
病毒感染一直被认为是儿科疾病。然而,病毒性肺炎已成为免疫功能低下的成年人发病率和死亡率的重要原因。改进的诊断技术,如高灵敏度核酸扩增检测的引入,不仅使我们能够发现新的病毒,还能够确定免疫功能低下的成年宿主中病毒性肺炎的病因。不幸的是,可用的抗病毒药物很少。因此,早期诊断和治疗对患者的预后至关重要。在本文中,我们回顾了最常见的病毒,这些病毒被认为是免疫功能低下的成年人病毒性肺炎的病原体。我们讨论了这些病毒感染的流行病学特征和临床表现,以及在有条件时最适当的诊断方法和治疗方法。