Herpes simplex virus 2 hepatitis in a lung transplant recipient: a diagnostic challenge

Transpl Infect Dis. 2015 Dec;17(6):904-8. doi: 10.1111/tid.12459. Epub 2015 Nov 5.

Abstract

Herpes simplex virus (HSV) hepatitis is a rare and serious complication in immunocompromised patients. We report the case of an HSV hepatitis occurring 4 years after lung transplantation in a cystic fibrosis patient. The presentation was nonspecific, mimicking acute cholecystitis; orogenital signs were absent. The diagnosis was made based on viral cultures performed during cholecystectomy and confirmed by blood quantitative polymerase chain reaction. Although the diagnosis and treatment were delayed, the patient fully recovered with acyclovir, reduced immunosuppression, and intravenous immunoglobulins. The diagnostic difficulties, prognostic factors, and treatments of this infection are discussed.

Keywords: hepatitis; herpes simplex virus; lung transplantation; quantitative polymerase chain reaction.

Publication types

  • Case Reports

MeSH terms

  • Acyclovir / therapeutic use*
  • Adult
  • Antiviral Agents / therapeutic use
  • Female
  • Hepatitis, Viral, Human / diagnosis
  • Hepatitis, Viral, Human / drug therapy
  • Hepatitis, Viral, Human / etiology
  • Hepatitis, Viral, Human / virology*
  • Herpesvirus 2, Human / isolation & purification*
  • Humans
  • Immunocompromised Host
  • Immunoglobulins, Intravenous / therapeutic use*
  • Lung Transplantation / adverse effects*

Substances

  • Antiviral Agents
  • Immunoglobulins, Intravenous
  • Acyclovir