Phan Alexander T, Ghantarchyan Henrik, Nguyen Viet-Tien, Hasan Mufadda
Internal Medicine, Arrowhead Regional Medical Center, Colton, USA.
Pulmonary and Critical Care Medicine, Arrowhead Regional Medical Center, Colton, USA.
Cureus. 2023 Aug 14;15(8):e43484. doi: 10.7759/cureus.43484. eCollection 2023 Aug.
Human rhinovirus (HRV) is a common cause of respiratory infections. HRV-related lower respiratory tract infections, including community-acquired pneumonia, are seldom seen in the clinical setting, and progression to acute respiratory distress syndrome (ARDS) is even rarer. We report on a case of a young immunosuppressed host who presented to the hospital for respiratory distress. She was diagnosed with HRV-related pneumonia, which rapidly progressed to ARDS based on clinical examination. After orotracheal intubation and mechanical ventilation with a low tidal volume strategy, she made a rapid recovery. This case highlights the importance of understanding that HRV may be an etiology of community-acquired pneumonia in immunosuppressed hosts and that ARDS may be a complication of this infection. Rapid recognition and clinical suspicion are important to the care of these patients, as ARDS has a high mortality rate.
人鼻病毒（HRV）是呼吸道感染的常见病因。HRV相关的下呼吸道感染，包括社区获得性肺炎，在临床环境中很少见，进展为急性呼吸窘迫综合征（ARDS）的情况更为罕见。我们报告一例年轻的免疫抑制宿主因呼吸窘迫入院的病例。她被诊断为HRV相关肺炎，根据临床检查迅速进展为ARDS。经口气管插管并采用低潮气量策略进行机械通气后，她迅速康复。该病例凸显了认识到HRV可能是免疫抑制宿主社区获得性肺炎的病因以及ARDS可能是这种感染的并发症的重要性。快速识别和临床怀疑对这些患者的治疗很重要，因为ARDS死亡率很高。
