Open AccessHerpetic tracheitis in association with rituximab therapy
Author(s) -
Thong Lorraine,
Plant Barry J,
McCarthy Julie,
Murphy Desmond M
Publication year - 2016
Publication title -
respirology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 9
ISSN - 2051-3380
DOI - 10.1002/rcr2.158
Subject(s) - medicine , rituximab , tracheitis , bronchoscopy , bronchiectasis , herpes simplex virus , lymphoma , immunology , dermatology , virus , lung , bronchitis
A 58‐year old lady under active follow‐up with the respiratory services at our institution for bronchiectasis secondary to hypogammaglobulinaemia presented with hoarseness and haemoptysis. She was also receiving rituximab maintenance therapy for follicular lymphoma. Bronchoscopy demonstrated vesicular lesions on her vocal cords and trachea, confirmed as herpes simplex virus (HSV) on cytological analysis of brushings. She responded well to intravenous valacyclovir. Rituximab is increasingly utilised in the treatment of haematological and auto‐immune disorders. This case highlights the potential of this drug to potentiate susceptibility to infection in an already immunocompromised individual.