The Showa University Journal of Medical Sciences
Online ISSN : 2185-0968
Print ISSN : 0915-6380
ISSN-L : 0915-6380
Case Report
A Cluster of Respiratory Syncytial Virus Infections in a Hospital Ward for Adult Immunocompromised Patients
Yasuhiro NAGATOMO, Takahiro TAKUMA, Issei TOKIMATSU, Yoshihito NIKI, Shun FUJIWARA, Ayaka NAKATA, Youhei SASAKI, Shotaro SHIMADA, Megumi WATANUKI, Maasa ABE, So MURAI, Yuta BABA, Yukiko KAWAGUCHI, Nana ARAI, Nobuyuki KABASAWA, Tomoharu MATSUI, Hiroyuki TSUKAMOTO, Yui UTO, Norimichi HATTORI, Bungo SAITO, Kouji YANAGISAWA, Tsuyoshi NAKAMAKI
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2020 年 32 巻 4 号 p. 257-264

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Four male patients admitted to the same ward in the first half of September 201Y were identified to have respiratory syncytial virus(RSV)infection. Their ages ranged from 49 to 85 years(median 72.5). One patient was infected with human immunodeficiency virus and three patients had hematological malignancies. Following immuno-chromatological testing with a nasal cavity swab, RSV infection was diagnosed. Although blood and sputum cultures were performed in three patients, no significant bacteria were detected. Two cases responded to supportive therapy. However, one patient died secondary to multiple myeloma, and another patient developed pneumonia and died with an exacerbation of leukemia. RSV infections in immunocompromised hosts are associated with a poor prognosis. Early diagnosis will facilitate isolation of infected individuals to prevent hospital outbreaks.
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