Viral infections in patients with an acute exacerbation of idiopathic interstitial pneumonia

Copyright © 2013 The Japanese Respiratory Society. Published by Elsevier B.V. All rights reserved..

BACKGROUND: Patients with slowly progressive idiopathic interstitial pneumonia, including idiopathic pulmonary fibrosis, often deteriorate, thus suggesting that the clinical course may be unpredictable. Such episodes are termed acute exacerbation of idiopathic interstitial pneumonia. The etiology of an acute exacerbation of idiopathic interstitial pneumonia is unknown. In this study, we tested the hypothesis that an acute exacerbation of idiopathic interstitial pneumonia is induced by respiratory viral infections.

METHODS: Bronchoalveolar lavage fluid obtained from patients with an acute exacerbation of idiopathic interstitial pneumonia was tested for viral nucleic acid using polymerase chain reaction.

RESULTS: Only 1 of the 14 patients with an acute exacerbation of idiopathic interstitial pneumonia exhibited evidence of respiratory syncytial virus B, and 2 patients exhibited evidence of cytomegalovirus. Seven patients fulfilled the diagnostic criteria of idiopathic pulmonary fibrosis.

CONCLUSIONS: Most cases with an acute exacerbation of idiopathic interstitial pneumonia are not caused by a viral infection.

Medienart:

E-Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:52

Enthalten in:

Respiratory investigation - 52(2014), 1 vom: 24. Jan., Seite 65-70

Sprache:

Englisch

Beteiligte Personen:

Ushiki, Atsuhito [VerfasserIn]
Yamazaki, Yoshitaka [VerfasserIn]
Hama, Mineyuki [VerfasserIn]
Yasuo, Masanori [VerfasserIn]
Hanaoka, Masayuki [VerfasserIn]
Kubo, Keishi [VerfasserIn]

Links:

Volltext

Themen:

Acute exacerbation
BAL
BALF
Bronchoalveolar lavage
Bronchoalveolar lavage fluid
CMV
Cytomegalovirus
DNA
Deoxyribonucleic acid
IIP
IL
IPF
Idiopathic interstitial pneumonia
Idiopathic pulmonary fibrosis
Interleukin
Interstitial pulmonary fibrosis
Journal Article
Methylprednisolone
PCR
Polymerase chain reaction
RNA
RT
Reverse transcriptase
Ribonucleic acid
Sd
Standard deviation
Viral infection
X4W7ZR7023

Anmerkungen:

Date Completed 25.09.2014

Date Revised 21.10.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.resinv.2013.07.005

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM234140690