Portal de Periódicos da CAPES

Herpes Simplex Virus 1 Pneumonia: Patterns on CT Scans and Conventional Chest Radiographs

1998; Lippincott Williams & Wilkins; Volume: 22; Issue: 5 Linguagem: Inglês

10.1097/00004728-199809000-00024

1532-3145

Suzanne L. Aquino, Donnie P. Dunagan, Caroline Chiles, Edward F. Haponik,

Respiratory viral infections research

Purpose: The goal of our study was to describe the herpes simplex virus type 1 (HSV 1) pneumonia patterns on CT scans and chest radiographs. Method: We retrospectively reviewed clinical records and chest radiographs of 24 patients with HSV 1 pneumonia and 10 with pneumonia from combined HSV and mixed flora infection. We also reviewed CT scans available for eight patients with HSV pneumonia and four with mixed pneumonia. Results: CT scans of eight patients with HSV pneumonia demonstrated multifocal segmental and subsegmental ground-glass opacities (n = 8), additional focal areas of consolidation (n = 6), scattered distribution (n = 6), and pleural effusions (n = 7). Chest radiographs (23 patients) showed patchy segmental and subsegmental ground-glass opacities and consolidation (n = 23), scattered distribution (n = 20), and pleural effusions (n = 12). Radiographic patterns for isolated HSV pneumonia and mixed flora pneumonia were not significantly different. Conclusion: With a growing population of at-risk immunosuppressed patients, it is important to recognize CT and chest radiography patterns consistent with, although nonspecific for, HSV 1 pneumonia.