Pneumothorax Associated With Human Metapneumovirus Pneumonia

Yıl 2019, Cilt: 3 Sayı: 1, 49 - 53, 30.04.2019

Onur Bircan , Bahri Elmas

https://doi.org/10.34084/bshr.542556

Öz

Viral pneumonias are
important causes of mortality and morbidity in children under two years of age.
Human metapneumovirus
has been isolated from the airways in recent years and causes different
clinical pictures ranging from mild upper respiratory tract infection to
bronchiolitis and pneumonia. Pneumonia and
pneumothorax was detected in a 13-month-old male
patient who was admitted to the pediatric intensive care unit due to
respiratory distress and oxygen demand. Thorax tube was inserted in the
right lung. Human metapneumovirus detected in nasopharynx swab PCR and IVIG
treatment was performed due to severe clinical picture. Especially in pediatric
infants with viral pneumonia, hMPV should be considered as a causative agent
and should be predicted that the disease may be seen with a more severe
clinical picture.

Anahtar Kelimeler

Human metapneumovirus, Pneumothorax, Viral pneumonia

Pnömotoraks ile Seyreden İnsan Metapnömovirüs Pnömonisi

Öz

Viral
pnömoniler iki yaş altı çocuklarda mortalite ve morbiditenin önemli
sebeplerindendir. İnsan metapnömovirüs son yıllarda solunum yollarından izole
edilmiş, hafif üst solunum yolu enfeksiyonundan bronşiolit ve pnömoniye kadar
varan farklı klinik tablolara yol açan bir virüsdür. Solunum sıkıntısı ve
oksijen ihtiyacı nedeniyle çocuk yoğun bakım ünitesine yatışı yapılan, pnömoni
ve pnömotoraks saptanan 13 aylık erkek hasta, sağ akciğere toraks tüpü takıldı.
Nazofarenks
sürüntüsü PCR incelemesinde insan metapnömovirüs saptanan hastaya ağır klinik
tablo nedeniyle IVIG tedavisi uygulandı. Özellikle viral pnömoni düşünülen süt
çocuklarında daha nadir görülen hMPV gibi virüslerde etken olarak düşünülmeli
ve hastalığın daha ağır klinik tablo ile seyredebileceği öngörülmelidir.

Anahtar Kelimeler

İnsan metapnömovirüs, Pnömotoraks, Viral pnömoni

Kaynakça

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