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
- disease activity
- rheumatoid arthritis
- coronary artery bypass
- respiratory failure
- healthcare
- public health
- surgical site infection
- emergency department
- community acquired pneumonia
- systemic lupus erythematosus
- patients undergoing
- cardiovascular events
- left ventricular
- type diabetes
- pulmonary artery
- interstitial lung disease
- cardiovascular disease
- systemic sclerosis
- heart failure
- adverse drug
- combination therapy
- acute coronary syndrome
- atrial fibrillation
- hepatitis b virus
- mechanical ventilation
- pulmonary arterial hypertension
- idiopathic pulmonary fibrosis