Tanba Carl, Almaadawy Omar, Saleh Nahar
Department of Internal Medicine, Medstar Health, Baltimore, MD, 21218, USA.
Respir Med Case Rep. 2023 Dec 28;47:101970. doi: 10.1016/j.rmcr.2023.101970. eCollection 2024.
A 67-year-old immunocompetent male with COPD on supplemental oxygen presented with shortness of breath and was initially treated for bronchitis exacerbation with initial suspicion of bacterial pneumonia. He was later found to have EBV pneumonia diagnosed via positive EBV on bronchoalveolar lavage PCR. Severe lung involvement has been rarely reported in context of acute EBV infection. Treatment for this entity has not yet been established, with few reports of acyclovir and steroid use. This report describes the presentation, diagnosis, and treatment of acute EBV pneumonia.
一名67岁免疫功能正常的男性，患有慢性阻塞性肺疾病（COPD）且需吸氧，因呼吸急促就诊，最初因怀疑细菌性肺炎而按支气管炎加重进行治疗。后来经支气管肺泡灌洗PCR检测EBV呈阳性，确诊为EBV肺炎。在急性EBV感染的情况下，严重肺部受累的情况鲜有报道。针对该病症的治疗方法尚未确定，仅有少量使用阿昔洛韦和类固醇的报告。本报告描述了急性EBV肺炎的临床表现、诊断和治疗。
