Haller A, von Segesser L, Baumann P C, Krause M
Department of Internal Medicine, University Hospital of Zurich, Switzerland.
Clin Infect Dis. 1995 Jul;21(1):206-9. doi: 10.1093/clinids/21.1.206.
We report a case involving a young adult who had life-threatening bilateral pneumonitis in the course of an acute Epstein-Barr virus (EBV) infection. Because of severe hypoxemia, the patient required mechanical ventilation and additional oxygenation by an intravascular oxygenator. The patient was treated with corticosteroids and survived without sequelae. Severe pulmonary involvement associated with EBV infection is a rare but potentially fatal complication of infectious mononucleosis. Similar cases reported in the literature are reviewed, and the therapeutic options for this particular complication are discussed.
我们报告了一例涉及一名年轻成年人的病例，该患者在急性爱泼斯坦-巴尔病毒（EBV）感染过程中出现危及生命的双侧肺炎。由于严重低氧血症，患者需要机械通气并通过血管内氧合器进行额外的氧合。患者接受了皮质类固醇治疗，最终存活且无后遗症。与EBV感染相关的严重肺部受累是传染性单核细胞增多症的一种罕见但可能致命的并发症。本文回顾了文献中报道的类似病例，并讨论了针对这一特定并发症的治疗选择。
