关键词: Computed tomography scan EBV Lung Pneumonia

来  源:   DOI:10.1016/j.rmcr.2024.102080   PDF(Pubmed)

Abstract:
UNASSIGNED: Epstein-Barr virus (EBV) is a common human Herpesvirus with worldwide distribution. Primary EBV infection usually occurs early in life and typically presents as infectious mononucleosis consisting of fever, pharyngitis, hepatosplenomegaly, and lymphadenopathy. Usually, the disease course is benign and most patients recover uneventfully without any consequent sequel.
UNASSIGNED: We present a case of an immunologically normal young male in whom an acute EBV infection caused severe pneumonitis. He was treated empirically with Paracetamol, intravenous Ceftriaxone 1 gr/day plus Azithromycin 500 mg/day.
UNASSIGNED: EBV-associated pneumonitis is rare, and treatment is usually supportive, whether antiviral agents (such as acyclovir) or steroids would be beneficial remains to be determined.
摘要:
爱泼斯坦-巴尔病毒(EBV)是一种常见的人类疱疹病毒,分布在世界各地。原发性EBV感染通常发生在生命早期,通常表现为发热的传染性单核细胞增多症。咽炎,肝脾肿大,和淋巴结病。通常,病程是良性的,大多数患者恢复顺利,没有任何后遗症。
我们介绍一例免疫正常的年轻男性,其中急性EBV感染导致严重肺炎。他接受了扑热息痛的经验性治疗,静脉注射头孢曲松1克/天加阿奇霉素500毫克/天。
EBV相关性肺炎罕见,治疗通常是支持性的,抗病毒药物(如阿昔洛韦)或类固醇是否有益仍有待确定。
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