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DOI: 10.1055/s-0042-1757791
Fulminant Herpes Pneumonia Postaortic Surgery with Known Ankylosing Spondylitis
Funding None.![](https://www.thieme-connect.de/media/10.1055-s-00039245/202205/lookinside/thumbnails/10-1055-s-0042-1757791_210037-1.jpg)
Abstract
Herpes simplex virus (HSV) pneumonitis is rare after cardiac surgery. A 36-year-old gentleman with ankylosing spondylitis underwent emergency surgery for a complex aortic aneurysmal disease. Preoperative treatment of aortitis with antitumor necrosis factor and steroid medication and surgical stress including cardiopulmonary bypass potentially created an immunosuppressive state and reactivation of undiagnosed HSV. Rapid HSV pneumonia ensued, culminating in fulminant organ failure and mortality. HSV pneumonia should be considered postoperatively in patients with severe respiratory distress, especially if immunocompromised.
Publication History
Received: 13 September 2021
Accepted: 13 April 2022
Article published online:
20 December 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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