Acute Respiratory Failure in Idiopathic Pulmonary Fibrosis: Co-Infection With H1n1 And Cytomegalovirus: An Unexpected Common Denominator
- *Corresponding Author:
- Carmen Silvia Valente Barbas
Adult Intensive Care Unit
Hospital Israelita Albert Einstein
São Paulo, Brazil
E-mail: [email protected]
Received Date: June 21, 2013; Accepted Date: September 04, 2013; Published Date: September 06, 2013
Citation: Valente Barbas CS, Rocha LL, de Matos GJF, Lomar FP, Shiang C, et al. (2013) Acute Respiratory Failure in Idiopathic Pulmonary Fibrosis: Co- Infection With H1n1 And Cytomegalovirus: An Unexpected Common Denominator. Emergency Med 3:152. doi:10.4172/2165-7548.1000152
Copyright: © 2013 Valente Barbas CS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
We described a case of persistent influenza AH1N1 and cytomegalovirus respiratory infection in a patient with chronic interstitial lung disease and multiple bilateral pulmonary opacities. An open lung biopsy revealed diffuse organizing alveolar damage, necrotizing bronchiolitis, necrotizing pneumonia and alveolar hemorrhage, compatible with H1N1 infection as well as usual interstitial pneumonia. Diagnoses of an idiopathic CD4+ T cell lymphocytopenia and immunoglobulin G deficiency were made as an unexpected co-denominator of H1N1 and CMV persistent infection changing our treatment approach.