Enterovirus-Human Rhinovirus as a Leading Cause of ARDS in a Liver Transplant Recipient: case report

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Kerman Meysam; NADJI SEYED ALIREZA; FARZANEGAN BEHROOZ; HASHEMIAN SEYED MOHAMMAD REZA; MARJANI MAJID; MONIRI AFSHIN; Javanmard Pedram; TABARSI PAYAM

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Journal: TANAFFOS Year:2019 | Volume:18 | Issue:2 Page(s): 169-172

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Title

Enterovirus-Human Rhinovirus as a Leading Cause of ARDS in a Liver Transplant Recipient: case report

Author(s)

Keywords

Acute respiratory distress syndrome (ARDS)

EnterovirusHuman Rhinovirus

Immunosuppression

Transplantation

Abstract

A 35-year-old man with a prior history of liver Transplantation 18 months ago was admitted to our Intensive Care Unit (ICU) with fever and worsening dyspnea and was diagnosed with severe pneumonia leading to Acute Respiratory Distress Syndrome (ARDS). He had a prolonged hospitalization and was treated with empiric broad spectrum intravenous antibiotics, oseltamivir, trimethoprim/sulfamethoxazole, and subsequently caspofungin and ganciclovir. Blood, nasopharyngeal, as well as Bronchoalveolar Lavage (BAL) culture and Polymerase Chain Reaction (PCR) were negative for all viral, bacterial, and fungal causes of pulmonary infection except Enterovirus-Human Rhinovirus (EV-HRV) that was positive with high titers on BAL and swab specimens. Consequently, the diagnosis of EV-HRV pneumonia complicated by ARDS was established. The patient gradually improved and was discharged from the hospital after 3 weeks. This report highlights EV-HRV as a cause of ARDS in immunocompromised adults.

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APA: Copy

Kerman, Meysam, NADJI, SEYED ALIREZA, FARZANEGAN, BEHROOZ, HASHEMIAN, SEYED MOHAMMAD REZA, MARJANI, MAJID, MONIRI, AFSHIN, Javanmard, Pedram, & TABARSI, PAYAM. (2019). Enterovirus-Human Rhinovirus as a Leading Cause of ARDS in a Liver Transplant Recipient: case report. TANAFFOS, 18(2), 169-172. SID. https://sid.ir/paper/772218/en

Vancouver: Copy

Kerman Meysam, NADJI SEYED ALIREZA, FARZANEGAN BEHROOZ, HASHEMIAN SEYED MOHAMMAD REZA, MARJANI MAJID, MONIRI AFSHIN, Javanmard Pedram, TABARSI PAYAM. Enterovirus-Human Rhinovirus as a Leading Cause of ARDS in a Liver Transplant Recipient: case report. TANAFFOS[Internet]. 2019;18(2):169-172. Available from: https://sid.ir/paper/772218/en

IEEE: Copy

Meysam Kerman, SEYED ALIREZA NADJI, BEHROOZ FARZANEGAN, SEYED MOHAMMAD REZA HASHEMIAN, MAJID MARJANI, AFSHIN MONIRI, Pedram Javanmard, and PAYAM TABARSI, “Enterovirus-Human Rhinovirus as a Leading Cause of ARDS in a Liver Transplant Recipient: case report,” TANAFFOS, vol. 18, no. 2, pp. 169–172, 2019, [Online]. Available: https://sid.ir/paper/772218/en

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