Singh Divya, Rajbanshi Argha, Giri Prabhas Prasun
Junior Resident, Institute of Child Health, India.
Associate Professor and Incharge of Pediatric Intensive Care Unit, Institute of Child Health, India.
Respir Med Case Rep. 2020 Sep 28;31:101233. doi: 10.1016/j.rmcr.2020.101233. eCollection 2020.
Human adenovirus is an important cause of febrile illness affecting mainly respiratory system ranging from pharyngitis, coryza to fatal pneumonia. Though most of the infections are trivial and results in complete recovery but it may result in considerable morbidities and mortalities in selected patients who developed severe adenoviral infections especially Pneumonia(ADVP)/Lower respiratory tract infection(LRTI). Severe adenoviral pneumonia is notorious to produce long term sequelae in the form of post infectious bronchiolitis obliterans (PIBO) or even bronchiectasis. Here we present a case of a ten months old boy developed bronchiectasis as a sequela of severe adenoviral LRTI and needed prolonged and recurrent respiratory support in the pediatric intensive care unit(PICU) and ultimately discharged on home Humidified high flow nasal cannula(HHFNC).
人腺病毒是引起发热性疾病的重要病因，主要影响呼吸系统，范围从咽炎、鼻炎到致命性肺炎。尽管大多数感染症状轻微且可完全康复，但在某些发生严重腺病毒感染尤其是肺炎（腺病毒肺炎）/下呼吸道感染（LRTI）的患者中，可能导致相当高的发病率和死亡率。严重的腺病毒肺炎以感染后闭塞性细支气管炎（PIBO）甚至支气管扩张的形式产生长期后遗症而臭名昭著。在此，我们报告一例10个月大男孩，因严重腺病毒LRTI后遗症而发生支气管扩张，在儿科重症监护病房（PICU）需要长期反复的呼吸支持，最终在家中使用高流量加温湿化鼻导管（HHFNC）出院。
