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Table 1.

Clinical characteristics of study patients and ventilatory parameters at time of herpes simplex type 1 (HSV-1) isolation from tracheal aspirate (TA) or bronchoalveolar lavage (BAL).

Patient 1 2 3 4
Date September 2001 November 2001 November 2001 February 2002
General parameters:
Age 45 19 84 78
Gender
Underlying disease nasopharyngeal carcinoma hypertension heart failure
Reason of admission pneumonia of unknown origin; respiratory failure septic shock; ALI/respiratory failure aspiration pneumonia; respiratory failure and shock Mycoplasma pneumoniae pneumonia
Comorbidity heart failure heart failure prior coronary artery surgery
Prior chemotherapy/radiotherapy +
Duration of mechanical ventilation prior to isolation, d 13 5 10 1
Duration mechanical ventilation after isolation, d 8 1 11 6
Length of stay ICU, d 26 8 21 42
Infectious parameters:
Duration between sampling and reporting positive cultures, d 5 1 1 1
Respiratory source of HSV-1 BAL TA TA TA
Other sources of HSV-1 throat, skin throat
Leukocytes in Gram stain of BAL/TA fluids few lymphocytes few moderate few
Bacteria in culture S. aureus ++, C. albicans + C. albicans ++ multiresistant P. aeruginosa, E. coli no micro-organisms
Serology high titre IgG
Body temperature, °C 37.4 36.2 37.2 38.2
Blood leukocytes, × 109/L 16.2 4.5 9.5 16.4
Antiviral therapy acyclovir acyclovir
Treatment with steroids prednison
Respiratory parameters:
Arterial PO2/inspiratory FO2, mm Hg 345 195 190 98
Plateau airway pressure, cm H2O 33 22 22 20
Positive end-expiratory airway pressure, cm H2O 12 7 7 5
Total respiratory compliance, mL/cm H2O 21 31 31
Radiographic score 4 4 3 4
Lung injury score 2.5 2.5 2.2 2.3
Central venous pressure, mm Hg 10 8
Pulmonary leak index, × 10-3/min 10.5 7.5 8.0 14.0
Duration between sampling and PLI, d 0 0 1 2