Herpes simplex virus associated sepsis in an immunocompetent adult: the value of next-generation sequencing  

作　　者：Shan Li Wei Jiang Jin-Min Peng Bin Du Li Weng 

机构地区：[1]Medical Intensive Care Unit,Peking Union Medical College Hospital,Peking Union Medical College and Chinese Academy of Medical Sciences,Beijing 100730,China

出　　处：《Chinese Medical Journal》2020年第14期1727-1728,共2页中华医学杂志（英文版）

摘　　要：To the Editor:A previously healthy 33-year-old Chinese man initially presented to local hospital with fever,upper abdominal pain,vomiting,and diarrhea over a period of 5 days.Laboratory findings of local medical center revealed liver and kidney function impairments.The patient was treated for suspected bacterial infection and anuria.On illness day 8,the patient became confused and disoriented.He was transferred to our emergency room.Initial investigations showed severe elevations of transaminases and moderate coagulopathy[Table 1].Viral serologies for hepatitis A,B,C,and E were negative.Chest X-ray was normal.Computed tomography of brain and abdomen showed hepatomegaly and a small amount of ascites.On illness day 10,he developed status epilepticus and was intubated for airway protection.The relatives denied history of alcohol abuse,illicit drug use,and orolabial lesions.The patient was admitted to intensive care unit for further management on illness day 10.

关 键 词：admitted TRANSFERRED initially 

分 类 号：R511[医药卫生—内科学]