Enterovirus-Human Rhinovirus: A Rare Cause of Acute Respiratory Distress Syndrome
A 22-year-old Asian woman presented with respiratory distress, cough, and wheezing for 1 week. Prior history included asthma and Turner syndrome. On presentation to the emergency department, the patient was hypotensive, tachycardic, tachypneic, with an oxyhemoglobin saturation in the mid 80% range w...
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SAGE Publishing,
2017-09-01T00:00:00Z.
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LEADER | 00000 am a22000003u 4500 | ||
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001 | doaj_2da2a3fd3399460eb1adb1c27d14cf19 | ||
042 | |a dc | ||
100 | 1 | 0 | |a Parita Soni MD |e author |
700 | 1 | 0 | |a Anand Rai MD |e author |
700 | 1 | 0 | |a Nidhi Aggarwal MD |e author |
700 | 1 | 0 | |a Stephan Kamholz MD |e author |
700 | 1 | 0 | |a Taek Yoon MD |e author |
700 | 1 | 0 | |a Yizhak Kupfer MD |e author |
245 | 0 | 0 | |a Enterovirus-Human Rhinovirus: A Rare Cause of Acute Respiratory Distress Syndrome |
260 | |b SAGE Publishing, |c 2017-09-01T00:00:00Z. | ||
500 | |a 2324-7096 | ||
500 | |a 10.1177/2324709617728526 | ||
520 | |a A 22-year-old Asian woman presented with respiratory distress, cough, and wheezing for 1 week. Prior history included asthma and Turner syndrome. On presentation to the emergency department, the patient was hypotensive, tachycardic, tachypneic, with an oxyhemoglobin saturation in the mid 80% range while breathing ambient air. Chest radiograph revealed pulmonary vascular congestion and a left lower lobe infiltrate. Endotracheal intubation, mechanical ventilation, and vasopressors were initiated. Empiric therapy for community-acquired pneumonia was administered utilizing broad-spectrum intravenous antibiotics. Routine sputum culture was negative for pathogens. Nasopharyngeal swab submitted for multiplex amplified nucleic acid testing yielded enterovirus-human rhinovirus (EV-HRV). Thus, the diagnosis of EV-HRV pneumonia complicated by acute respiratory distress syndrome (ARDS) was established. Multiple attempts to wean from the ventilator were unsuccessful, and a tracheostomy was performed. This report highlights EV-HRV as a cause of severe ARDS and prolonged respiratory failure in adults. | ||
546 | |a EN | ||
690 | |a Medicine (General) | ||
690 | |a R5-920 | ||
690 | |a Pathology | ||
690 | |a RB1-214 | ||
655 | 7 | |a article |2 local | |
786 | 0 | |n Journal of Investigative Medicine High Impact Case Reports, Vol 5 (2017) | |
787 | 0 | |n https://doi.org/10.1177/2324709617728526 | |
787 | 0 | |n https://doaj.org/toc/2324-7096 | |
856 | 4 | 1 | |u https://doaj.org/article/2da2a3fd3399460eb1adb1c27d14cf19 |z Connect to this object online. |