Two Cases of Herpes Virus Infection of Nose Mimicking Acute Invasive Fungal Infection in Immunocompromised Hosts.

J Rhinol

Departments of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Published: July 2022

AI Article Synopsis

  • * In immunocompromised hosts, herpes simplex virus (HSV) type-1 can cause nasal infections that may mimic AIFI, but the treatment approaches for viral and fungal infections are different.
  • * This report highlights two cases of immunocompromised patients with lesions around the nose, aiming to provide clinical insights for distinguishing between mucosal fungal infections and herpes-related lesions.

Article Abstract

Various invasive fungal infections can occur in immunocompromised hosts, and an acute invasive fungal infection (AIFI) can be fatal. Because of its high mortality rate, AIFI must be quickly diagnosed and treated, such as anti-fungal agents or surgical debridement. In an immunocompromised host, nasal herpes simplex infection, usually caused by herpes simplex virus (HSV) type-1, can have various clinical manifestations, some of which can mimic AIFI. However, the management of acute viral infection differs significantly from invasive fungal infections of the nose. A fast and accurate differential diagnosis is mandatory because a delay in the disease-specific treatment of acute invasive infections can lead to mortality. This report describes two immunocompromised patients with mucosal and skin lesions around the nose. We provide clinical clues when mucosal lesions of the nasal cavity and skin lesions around the nose develop in immunocompromised hosts.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11540244PMC
http://dx.doi.org/10.18787/jr.2021.00387DOI Listing

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