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Endobronchial pseudo-tumour caused by herpes simplex

Depts of Internal Medicine and Pathology, Bridgeport Hospital & Yale University School of Medicine, Bridgeport, CT, USA

CORRESPONDENCE: A. Upadya, Bridgeport Hospital, Yale-New Haven Health, 267 Grant Street, Bridgeport, CT 06610-0120, USA. Fax: 1 2033844663. E-mail: paupad@bpthosp.org

Keywords: Endobronchial, exophytic, herpes simplex, lung, mass, tumour

Received: October 22, 2004
Accepted February 2, 2005

ABSTRACT

Herpes simplex virus (HSV) causes tracheobronchitis and pneumonitis; however, to date, there has only been one report of an endobronchial mass caused by HSV type II.

This case study describes a 68-yr-old female with severe kyphoscoliosis who was intubated for acute on chronic hypercapnic respiratory failure and developed blood-tinged endotracheal secretions.

Fibreoptic bronchoscopy demonstrated an endobronchial mass in the right middle lobe. Cultures grew HSV type I and biopsy specimens demonstrated cytopathological changes consistent with HSV infection.

This is the first reported case of HSV type I presenting as an endobronchial tumour.