Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center, Saitama, Japan; Department of Respiratory Medicine, Jikei University Kashiwa Hospital, Kashiwa City, Japan.
Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center, Saitama, Japan.
Chest. 2020 Jul;158(1):e41-e45. doi: 10.1016/j.chest.2019.11.054. Epub 2020 Jul 2.
A 72-year-old woman with diabetes mellitus was admitted to our hospital because of dyspnea on exertion. Sputum cytologic evaluation revealed intranuclear inclusion bodies in the cells; we therefore considered viral pneumonia and performed a bronchoscopy. The bronchial washing fluid was positive for immunoperoxidase staining of herpes simplex virus type 1 (HSV1) and HSV1 polymerase chain reaction. The patient was diagnosed as having pneumonia due to HSV1 and was successfully treated with acyclovir.
一位 72 岁的女性，患有糖尿病，因活动后呼吸困难而被收入我院。痰细胞学检查发现细胞内有核内包涵体；因此，我们考虑病毒性肺炎，并进行了支气管镜检查。支气管灌洗液免疫过氧化物酶染色单纯疱疹病毒 1 型（HSV1）和 HSV1 聚合酶链反应阳性。患者被诊断为单纯疱疹病毒 1 型肺炎，经阿昔洛韦治疗后痊愈。
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