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Case Reports
. 2013 Dec 5;1(1):2-4.
doi: 10.1016/j.idcr.2013.11.001. eCollection 2014.

Herpes simplex virus bronchiolitis in a cannabis user

Daniel H Libraty  1 , Lisa Bocelli  1 , Armando Fraire  2
Affiliations
Case Reports

Herpes simplex virus bronchiolitis in a cannabis user

Daniel H Libraty et al. IDCases. .

Abstract

Herpes simplex virus (HSV) lower respiratory tract infections in adults are uncommon. We present a case of HSV bronchiolitis and pneumonitis in an immunocompetent individual, likely linked to chronic habitual marijuana use and a herpetic orolabial ulcer. The case serves as a reminder to consider HSV as a potential unusual cause of lower respiratory tract infection/inflammation in individuals with chronic habitual marijuana use.

Keywords: Bronchiolitis; Herpes simplex virus-1; Marijuana; Pneumonitis.

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Figures

Fig. 1
Fig. 1
Chest CT scan image. Bilateral bronchial wall thickening and ground glass opacities in a peri-bronchovascular distribution.
Fig. 2
Fig. 2
Histopathology from transbronchial biopsy. (a) Herpes virus inclusion bodies and cytopathic effect (arrows) with necrosis in bronchial wall tissue (H&E stain, 400× magnification). (b) Immunoperoxidase staining for herpes simplex virus-1 (HSV-1) (brown color) in surface bronchial epithelial cells (400× magnification).
See this image and copyright information in PMC

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