Volfová Pavlína, Lengerová Martina, Dvořáková Dana, Paloušová Dita, Hrnčířová Kristýna, Ráčil Zdeněk, Mayer Jiří, Pospíšilová Sárka
Center of Molecular Biology and Gene Therapy, Clinic of Internal Medicine - Hematology and Oncology, Masaryk University Brno, Czech Republic.
Klin Mikrobiol Infekc Lek. 2011 Dec;17(6):194-200.
Herpes virus infections represent common complications associated with respiratory tract involvement which may result in pneumonia development in immunocompromised patients. The analysis of bronchoalveolar lavage (BAL) fluid obtained from the lower respiratory tract may contribute to detection of aetiological agents of the disease. The routine use of quantitative molecular methods enables the discrimination between acute infection and viral reactivation with asymptomatic virus shedding. The aim of this review is to evaluate the contribution of BAL viral load monitoring in high-risk patients and to determine the cut-off of viral load leading to progression to herpes virus pneumonia.
疱疹病毒感染是与呼吸道受累相关的常见并发症,在免疫功能低下的患者中可能导致肺炎。对从下呼吸道获取的支气管肺泡灌洗(BAL)液进行分析可能有助于检测该疾病的病原体。定量分子方法的常规使用能够区分急性感染和无症状病毒脱落导致的病毒再激活。本综述的目的是评估BAL病毒载量监测在高危患者中的作用,并确定导致进展为疱疹病毒肺炎的病毒载量临界值。