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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.
Viral pneumonia is one of the main causes of mortality and morbidity in children under two years of age. Human metaphnomovirus is a virus that has been isolated from the respiratory tract in recent years, leading to different clinical tables, from mild upper respiratory infection to bronchiolitis and pneumonia. A 13-month-old male patient, who was hospitalized in a child’s intensive care unit due to breathing failure and oxygen need, diagnosed pneumonia and pneumotorax, was infected with a thorax tube on the right lungs. In the PCR study of the Nazofarenx scratch, IVIG treatment was applied to the patient with a heavy clinical picture of the detected human metaphnomovirus. Specifically viral pneumonia should be considered as a factor in viruses such as hMPV, which is more rare in children, and should be predicted that the disease may be seen with a more severe clinical picture.
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.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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