感染症学雑誌
Online ISSN : 1884-569X
Print ISSN : 0387-5911
ISSN-L : 0387-5911
症例
新型コロナウイルス感染症との鑑別が問題となったヒトメタニューモウイルスの成人間感染と考えられた事例
村 竜輝西田 祥啓多賀 允俊飯沼 由嗣
著者情報
ジャーナル フリー

2021 年 95 巻 6 号 p. 396-400

詳細
抄録

We report a case series of adult-onset human metapneumovirus (hMPV) pneumonia, which was difficult to distinguish from SARS-CoV-2 infection (COVID-19) and was thought to have spread among healthy adults in the community. [Case 1] A 60-year-old man visited the hospital complaining of cough and fever. Chest CT showed bilateral multiple ground-glass opacities, suggestive of atypical pneumonia, including COVID-19. The PCR test result for SARS-CoV-2 was negative, and the additionally performed FilmArray respiratory panel test revealed a positive result for hMPV. [Case 2] A 60-year-old man who was a colleague of Case 1 visited the hospital complaining of cough, runny nose, headache, and fever. He was diagnosed as having an upper respiratory tract infection without performing any rapid antigen tests. [Case 3] A 60-year-old woman who was the wife of Case 2 visited the hospital complaining of cough and fever. Chest CT showed ground-glass opacities and multiple nodular shadows, and the rapid antigen test result for hMPV was positive. Based on the epidemiological association and similarity of symptoms, all the three cases were considered as having hMPV infection. Case 1 and Case 2 were suspected of having become infected at work, and Case 3 was suspected to have been transmitted from Case 2 in the home. In summary, careful differential diagnosis between hMPV and SARS-CoV-2 is required, especially during epidemics of hMPV in the current SARS-CoV-2 pandemic era.

著者関連情報
© 2021 一般社団法人 日本感染症学会
前の記事 次の記事
feedback
Top