Abstract

MAZZUCCO, M.R et al. Neumonía por herpes virus simple tipo 1: Entidad infrecuente de difícil diagnóstico y mal pronóstico en trasplantados pulmonares. Rev. argent. radiol. [online]. 2014, vol.78, n.2, pp.82-88. ISSN 1852-9992.

Pneumonia due to herpes simplex virus type 1: A difficult to diagnose condition with a poor prognosis in lung transplants Abstract Herpetic pneumonia is a rare disease that mostly affects people with immune deficiency whose outcome is frequently fatal. Its appearance is described in the first two months after surgery. In our experience it was evidenced in the post transplant apart since 10 months, 1 ½ years, 8 years and 19 years after the transplant. We described the CT findings detected in 4 lung transplant recipient that had evolved with herpetic pneumonia. Patients presented fever, cough, sputum and dyspnea with progressive worsening of functional class, four died after the disease. The histological diagnosis is made by bronchoalveolar lavage or transbronchial biopsy with subsequent staining with hematoxylin - eosin and / or immunohistochemistry procedure. The highlighted CT findings were ground-glass opacities patchy distribution, airspace consolidation, pleural effusion and bronchiectasis. Due to its low frequency and poor prognosis is important to know this entity in lung transplant recipients to avoid a delayed diagnosis and treatment.

Keywords : Lung; Herpetic pneumonia; Transplant; Computed tomography.

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