Fulminant Herpes Pneumonia Postaortic Surgery with Known Ankylosing Spondylitis.
Nicole AsemotaIkenna David IkeAung Ye OoAna Lopez-MarcoPublished in: Aorta (Stamford, Conn.) (2022)
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.
Keyphrases
- herpes simplex virus
- ankylosing spondylitis
- minimally invasive
- rheumatoid arthritis
- disease activity
- coronary artery bypass
- respiratory failure
- healthcare
- emergency department
- surgical site infection
- public health
- patients undergoing
- community acquired pneumonia
- cardiovascular disease
- left ventricular
- percutaneous coronary intervention
- pulmonary artery
- liver failure
- intensive care unit
- type diabetes
- extracorporeal membrane oxygenation
- adverse drug
- acute respiratory distress syndrome
- pulmonary hypertension
- replacement therapy
- pulmonary arterial hypertension
- idiopathic pulmonary fibrosis