Cargando…

Varicella-zoster Virus Related Pulmonary Granulomas in Which Varicella-zoster Virus DNA Was Demonstrated in a Thoracoscopic Lung Biopsy Specimen

A 43-year-old man with malignant lymphoma who had been treated with the cyclosphamide, vincrstine, procarbazine, and prednisolone (C-MOPP) regimen was admitted to our hospital with skin eruption. He was diagnosed to have varicella, and treatment with acyclovir and immune globulin was started. Chest...

Descripción completa

Detalles Bibliográficos
Autores principales: Isobe, Takeshi, Umemoto, Jyunro, Kobayashi, Misato, Okuno, Takae, Shiratsuki, Youhei, Kodama, Akari, Nakao, Mika, Amano, Yoshihiro, Hotta, Takamasa, Hamaguchi, Megumi, Okimoto, Tamio, Hamaguchi, Shunichi, Tsubata, Yukari
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6702000/
https://www.ncbi.nlm.nih.gov/pubmed/30918176
http://dx.doi.org/10.2169/internalmedicine.2021-18
_version_ 1783445147939241984
author Isobe, Takeshi
Umemoto, Jyunro
Kobayashi, Misato
Okuno, Takae
Shiratsuki, Youhei
Kodama, Akari
Nakao, Mika
Amano, Yoshihiro
Hotta, Takamasa
Hamaguchi, Megumi
Okimoto, Tamio
Hamaguchi, Shunichi
Tsubata, Yukari
author_facet Isobe, Takeshi
Umemoto, Jyunro
Kobayashi, Misato
Okuno, Takae
Shiratsuki, Youhei
Kodama, Akari
Nakao, Mika
Amano, Yoshihiro
Hotta, Takamasa
Hamaguchi, Megumi
Okimoto, Tamio
Hamaguchi, Shunichi
Tsubata, Yukari
author_sort Isobe, Takeshi
collection PubMed
description A 43-year-old man with malignant lymphoma who had been treated with the cyclosphamide, vincrstine, procarbazine, and prednisolone (C-MOPP) regimen was admitted to our hospital with skin eruption. He was diagnosed to have varicella, and treatment with acyclovir and immune globulin was started. Chest computed tomography revealed multiple nodules in the both lung fields. Diagnostic thoracoscopic lung biopsy specimens revealed granuloma formation, and polymerase chain reaction testing revealed the presence of varicella-zoster virus DNA in the granulomatous tissue. It was unusual for the lung nodule in varicella pneumonia to increase in size over time in a patient who had undergone antiviral therapy, while also demonstrating multiple granulomas.
format Online
Article
Text
id pubmed-6702000
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher The Japanese Society of Internal Medicine
record_format MEDLINE/PubMed
spelling pubmed-67020002019-08-21 Varicella-zoster Virus Related Pulmonary Granulomas in Which Varicella-zoster Virus DNA Was Demonstrated in a Thoracoscopic Lung Biopsy Specimen Isobe, Takeshi Umemoto, Jyunro Kobayashi, Misato Okuno, Takae Shiratsuki, Youhei Kodama, Akari Nakao, Mika Amano, Yoshihiro Hotta, Takamasa Hamaguchi, Megumi Okimoto, Tamio Hamaguchi, Shunichi Tsubata, Yukari Intern Med Case Report A 43-year-old man with malignant lymphoma who had been treated with the cyclosphamide, vincrstine, procarbazine, and prednisolone (C-MOPP) regimen was admitted to our hospital with skin eruption. He was diagnosed to have varicella, and treatment with acyclovir and immune globulin was started. Chest computed tomography revealed multiple nodules in the both lung fields. Diagnostic thoracoscopic lung biopsy specimens revealed granuloma formation, and polymerase chain reaction testing revealed the presence of varicella-zoster virus DNA in the granulomatous tissue. It was unusual for the lung nodule in varicella pneumonia to increase in size over time in a patient who had undergone antiviral therapy, while also demonstrating multiple granulomas. The Japanese Society of Internal Medicine 2019-03-28 2019-07-15 /pmc/articles/PMC6702000/ /pubmed/30918176 http://dx.doi.org/10.2169/internalmedicine.2021-18 Text en Copyright © 2019 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Isobe, Takeshi
Umemoto, Jyunro
Kobayashi, Misato
Okuno, Takae
Shiratsuki, Youhei
Kodama, Akari
Nakao, Mika
Amano, Yoshihiro
Hotta, Takamasa
Hamaguchi, Megumi
Okimoto, Tamio
Hamaguchi, Shunichi
Tsubata, Yukari
Varicella-zoster Virus Related Pulmonary Granulomas in Which Varicella-zoster Virus DNA Was Demonstrated in a Thoracoscopic Lung Biopsy Specimen
title Varicella-zoster Virus Related Pulmonary Granulomas in Which Varicella-zoster Virus DNA Was Demonstrated in a Thoracoscopic Lung Biopsy Specimen
title_full Varicella-zoster Virus Related Pulmonary Granulomas in Which Varicella-zoster Virus DNA Was Demonstrated in a Thoracoscopic Lung Biopsy Specimen
title_fullStr Varicella-zoster Virus Related Pulmonary Granulomas in Which Varicella-zoster Virus DNA Was Demonstrated in a Thoracoscopic Lung Biopsy Specimen
title_full_unstemmed Varicella-zoster Virus Related Pulmonary Granulomas in Which Varicella-zoster Virus DNA Was Demonstrated in a Thoracoscopic Lung Biopsy Specimen
title_short Varicella-zoster Virus Related Pulmonary Granulomas in Which Varicella-zoster Virus DNA Was Demonstrated in a Thoracoscopic Lung Biopsy Specimen
title_sort varicella-zoster virus related pulmonary granulomas in which varicella-zoster virus dna was demonstrated in a thoracoscopic lung biopsy specimen
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6702000/
https://www.ncbi.nlm.nih.gov/pubmed/30918176
http://dx.doi.org/10.2169/internalmedicine.2021-18
work_keys_str_mv AT isobetakeshi varicellazostervirusrelatedpulmonarygranulomasinwhichvaricellazostervirusdnawasdemonstratedinathoracoscopiclungbiopsyspecimen
AT umemotojyunro varicellazostervirusrelatedpulmonarygranulomasinwhichvaricellazostervirusdnawasdemonstratedinathoracoscopiclungbiopsyspecimen
AT kobayashimisato varicellazostervirusrelatedpulmonarygranulomasinwhichvaricellazostervirusdnawasdemonstratedinathoracoscopiclungbiopsyspecimen
AT okunotakae varicellazostervirusrelatedpulmonarygranulomasinwhichvaricellazostervirusdnawasdemonstratedinathoracoscopiclungbiopsyspecimen
AT shiratsukiyouhei varicellazostervirusrelatedpulmonarygranulomasinwhichvaricellazostervirusdnawasdemonstratedinathoracoscopiclungbiopsyspecimen
AT kodamaakari varicellazostervirusrelatedpulmonarygranulomasinwhichvaricellazostervirusdnawasdemonstratedinathoracoscopiclungbiopsyspecimen
AT nakaomika varicellazostervirusrelatedpulmonarygranulomasinwhichvaricellazostervirusdnawasdemonstratedinathoracoscopiclungbiopsyspecimen
AT amanoyoshihiro varicellazostervirusrelatedpulmonarygranulomasinwhichvaricellazostervirusdnawasdemonstratedinathoracoscopiclungbiopsyspecimen
AT hottatakamasa varicellazostervirusrelatedpulmonarygranulomasinwhichvaricellazostervirusdnawasdemonstratedinathoracoscopiclungbiopsyspecimen
AT hamaguchimegumi varicellazostervirusrelatedpulmonarygranulomasinwhichvaricellazostervirusdnawasdemonstratedinathoracoscopiclungbiopsyspecimen
AT okimototamio varicellazostervirusrelatedpulmonarygranulomasinwhichvaricellazostervirusdnawasdemonstratedinathoracoscopiclungbiopsyspecimen
AT hamaguchishunichi varicellazostervirusrelatedpulmonarygranulomasinwhichvaricellazostervirusdnawasdemonstratedinathoracoscopiclungbiopsyspecimen
AT tsubatayukari varicellazostervirusrelatedpulmonarygranulomasinwhichvaricellazostervirusdnawasdemonstratedinathoracoscopiclungbiopsyspecimen