[Herpes simplex and Geotrichum candidum pneumonia in a patient with moderate renal failure].
Viral or fungal pneumonia generally occurs in immunocompromised patients. We report a case of hypoxic pneumonia unresponsive to broad-spectrum antibiotic therapy in a patient whose only risk factor for immunodeficiency was mild silent renal failure. The causal association between Herpes simplex and Geotrichum candidum was retained on the basis of endobronchial samples and the favorable course after institution of specific treatment. It is thus useful to consider these pathogens in patients with lung infection in order to institute specific treatment.
Depagne
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Service de Pneumologie, Hôpital de la Croix-Rousse, 103, Grande-Rue de la Croix-Rousse, 69317 Lyon 04. cgbel@club-internet.fr
Louerat
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Nesme
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D000368:Aged; D005847:Geotrichosis / Q000150:complications*; D006561:Herpes Simplex / Q000150:complications*; D006801:Humans; D008172:Lung Diseases, Fungal / Q000150:complications*; D008297:Male; D011024:Pneumonia, Viral / Q000150:complications*; D051437:Renal Insufficiency / Q000150:complications*; D012720:Severity of Illness Index