Abstract

Pulmonary herpes simplex infection is rarely reported. To date, there is a paucity of literature on this infection. This case study describes a 64-year-old male with a background history of diabetes mellitus and hypertension who was intubated for acute respiratory failure. The managing team had difficulty to wean his oxygenation thus decided for bronchoscopy examination which showed suspicious growth at middle lobe of the right lung. Repeated bronchoscopy by pulmonologist revealed a nodular ‘warty’ appearance lesion at right bronchus intermedius. His biopsy revealed histopathological changes consistent with herpes simplex infection.International Journal of Human and Health Sciences Vol. 05 No. 01 January’21 Page: 112-114

Highlights

  • Pulmonary herpes simplex infection has been described rarely in critically ill patients or immunosuppressed individuals

  • An endobronchial biopsy was taken, and the result is consistent with herpes infection as evident by balloon degeneration free lying epithelium with ground glass nuclei admixed with necrotic tissue with inflammatory exudate

  • Balloon degeneration free lying epithelium with ground glass nuclei admixed with necrotic tissue with inflammatory exudate (4b) - (H&E stain, x400 magnification)

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Summary

Introduction

Introduction Pulmonary herpes simplex infection has been described rarely in critically ill patients or immunosuppressed individuals. There have been only a few case reports on endobronchial pseudo-tumour caused by herpes simplex virus. 3. Dr Suhaila Abdullah, Clinical Pathologist, Tengku Ampuan Afzan Hospital, Kuantan, Malaysia.

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