Herpes simplex pneumonitis: Difference between revisions

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* Pathology shows intranuclear inclusion bodies or positive immunohistochemical stain
* Pathology shows intranuclear inclusion bodies or positive immunohistochemical stain


==Investigations
== Investigations ==
* CT chest shows one of three patterns: diffuse or multifocal ground-glass opacities, multifocal peribronchial consolidation, or a mixture of both[[CiteRef::chong2010he]]
* CT chest shows one of three patterns: diffuse or multifocal ground-glass opacities, multifocal peribronchial consolidation, or a mixture of both[[CiteRef::chong2010he]]

== Management ==

* In mechanically ventilated patients with positive HSV PCR, [[acyclovir]] 5 to 10 mg/kg IV q8h for 14 days[[CiteRef::luyt2020ac]][[CiteRef::heimes2020ef]]


[[Category:Respiratory infections]]
[[Category:Respiratory infections]]

Latest revision as of 22:09, 12 March 2022

Background

  • Pulmonary infection of HSV
  • Pathology shows intranuclear inclusion bodies or positive immunohistochemical stain

Investigations

  • CT chest shows one of three patterns: diffuse or multifocal ground-glass opacities, multifocal peribronchial consolidation, or a mixture of both1

Management

  • In mechanically ventilated patients with positive HSV PCR, acyclovir 5 to 10 mg/kg IV q8h for 14 days23

References

  1. ^  S Chong, T S Kim, E Y Cho. Herpes simplex virus pneumonia: high-resolution CT findings. The British Journal of Radiology. 2010;83(991):585-589. doi:10.1259/bjr/51409455.