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(Chest. 1995;108:876-879.)
© 1995 American College of Chest Physicians

Herpes Simplex Viral Pneumonia in the Postthoracotomy Patient

Brian Camazine MD1; Joseph G. Antkowiak MD, FCCP1; Maria Enriqueta R. Nava MD2; Brian J. Lipman MD3; and Hiroshi Takita MD1

1 From the Department of Thoracic Surgery and Oncology, Division of Surgical Oncology, New York State Department of Health, Roswell Park Cancer Institute, Buffalo, NY.
2 From the Department of Pathology, New York State Department of Health, Roswell Park Cancer Institute, Buffalo, NY.
3 From the Department of Medicine, New York State Department of Health, Roswell Park Cancer Institute, Buffalo, NY.

Over a 6-month period, 6 of 54 postthoracotomy patients developed pneumonia and respiratory failure. Pneumonia was secondary to herpes simplex virus type 1 in 3 of the 6 patients. Diagnostic efforts including bronchoscopy with bronchial washing, viral cultures, and cytologic examination permitted early diagnosis and successful treatment with acyclovir. A high index of suspicion for herpes simplex pneumonia must be maintained in critically ill patients with undiagnosed pneumonia.

Key Words: herpes simplex • pneumonia • postthoracotomy






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