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Canadian Journal of Infectious Diseases
Volume 4 (1993), Issue 2, Pages 111-114
http://dx.doi.org/10.1155/1993/951843
Case Report

Herpetic Pneumonitis Following Posterior Fossa Surgery

Denis Ladouceur, Raymond Duperval, André Cantin, and Eric H Frost

Departments of Neurosurgery, Infectious diseases, Pneumology, and Microbiology, University of Sherbrooke, Sherbrooke, Quebec, Canada

Received 30 January 1992; Accepted 2 June 1992

Copyright © 1993 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Reactivation of Herpes simplex virus (HSV) following manipulation of the trigeminal nerve root. has been reported in a substantial number of immunocompetent patients. Usually it was manifest as an oral mucocutaneous lesion and considered a benign postoperative complication. In the case described here, however, severe respiratory distress due to herpetic pneumonia developed following a pontocerebellar angle surgery complicated by an orolabial herpetic lesion. The delays necessary to confirm HSV diagnosis prior to initiating treatment are discussed, considering the rarity of this complication following neurosurgery.