Influenza A (H1N1) pneumonia: HRCT findings

OBJECTIVE: To describe aspects found on HRCT scans of the chest in patients infected with the influenza A (H1N1) virus. METHODS: We retrospectively analyzed the HRCT scans of 71 patients (38 females and 33 males) with H1N1 infection, confirmed through laboratory tests, between July and September of 2009. The HRCT scans were interpreted by two thoracic radiologists independently, and in case of disagreement, the decisions were made by consensus. RESULTS: The most common HRCT findings were ground-glass opacities (85%), consolidation (64%), or a combination of ground-glass opacities and consolidation (58%). Other findings were airspace nodules (25%), bronchial wall thickening (25%), interlobular septal thickening (21%), crazy-paving pattern (15%), perilobular pattern (3%), and air trapping (3%). The findings were frequently bilateral (89%), with a random distribution (68%). Pleural effusion, when observed, was typically minimal. No lymphadenopathy was identified. CONCLUSIONS: The most common findings were ground-glass opacities and consolidations, or a combination of both. Involvement was commonly bilateral with no axial or craniocaudal predominance in the distribution. Although the major tomographic findings in H1N1 infection are nonspecific, it is important to recognize such findings in order to include infection with the H1N1 virus in the differential diagnosis of respiratory symptoms..

Medienart:

E-Artikel

Erscheinungsjahr:

2013

Erschienen:

2013

Enthalten in:

Zur Gesamtaufnahme - volume:39

Enthalten in:

Jornal Brasileiro de Pneumologia - 39(2013), 3, Seite 323-329

Sprache:

Englisch ; Portugiesisch

Beteiligte Personen:

Viviane Brandao Amorim [VerfasserIn]
Rosana Souza Rodrigues [VerfasserIn]
Miriam Menna Barreto [VerfasserIn]
Glaucia Zanetti [VerfasserIn]
Bruno Hochhegger [VerfasserIn]
Edson Marchiori [VerfasserIn]

Links:

doi.org [kostenfrei]
doaj.org [kostenfrei]
www.scielo.br [kostenfrei]
Journal toc [kostenfrei]

Themen:

Diseases of the respiratory system
Pneumonia viral
Tomografia computadorizada por raios X
Virus da influenza A subtipo H1N1

doi:

10.1590/S1806-37132013000300009

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

DOAJ066087481