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Swine-origin influenza A viral (H1N1) infection in children: chest computed tomography findings

tetano

Editor, Senior Moderator
Jpn J Radiol. 2011 Dec;29(10):707-11. Epub 2011 Oct 19.
Swine-origin influenza A viral (H1N1) infection in children: chest computed tomography findings.
Im SA, Kim HL, Yoon JS, Kang JH, Lee JS, Chun HJ.
Source

Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea, 505 Banpo-dong, Seocho-gu, Seoul, 137-701, Republic of Korea.
Abstract
PURPOSE:

The aim of this study was to review the chest computed tomography (CT) findings in children with swine-origin influenza (H1N1) virus (S-OIV) infection.
MATERIALS AND METHODS:

The radiologists retrospectively reviewed chest CT findings in 12 children with S-OIV infection and recorded the following findings: ground-glass opacities (GGO), consolidation, nodules, reticular opacities, peribronchial cuffing, and air trapping; distribution; affected lobes. The presence of pleural effusions, pneumomediastinum, pulmonary interstitial emphysema (PIE), and lymphadenopathy was also recorded.
RESULTS:

Chest CT revealed GGO (67%), consolidation (67%), nodules (25%), peribronchial cuffing (42%), and air trapping (33%). The distribution of the lesions was random (75%), peribronchial (17%), or subpleural (8%). The lobes affected were the lower (92%), upper (58%), and middle (17%) lobes. There were associated pleural effusions (42%), PIE (42%), pneumomediastinum (33%), and lymphadenopathy (75%). Among five patients with air-leak complications, three had a history of allergies and three required the intensive care unit.
CONCLUSION:

Chest CT findings in children with S-OIV infection were peribronchial thickening and a mixture of airspace consolidation and GGO with random distribution and lower lobe predominance. Pleural effusion, lymphadenopathy, PIE, and pneumomediastinum may be associated findings.

PMID:
22009422
[PubMed - in process]

http://www.ncbi.nlm.nih.gov/pubmed/22009422
 
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