Source: Annual Congress 2010 - State of the art imaging

Abstract

PURPOSE. The aim of this study was to evaluate the computed tomography scan of patients with documented H1N1.
MATERIAL AND METHODS. Thirteen patients (6 men and 7 women), with H1N1 infection confirmed by RT-PCR were included. The computed tomography scans were reviewed regarding pattern (consolidation, ground glass, nodules and reticulation), distribution (focal, multifocal, and diffuse) and lung zones involved. The patient files were studied for their possible underlying disease. LDH and CPK level was available for 9 and 10 patients respectively.
RESULTS. The mean age was 35.54 ± 9.5 . Eight patients had co-existing condition (2 Respiratory, 2 cardiovascular, 1 Immunodeficiency, 1 Cancer, 3 others). 6 (46.2%) patients required ICU admission. 3 (23.1%) patients died. The most common radiographic abnormality was ground glass (10/13; 76.9%) followed by consolidation (6/13, 46.2%) in the peribronchovascular region (8/13; 61.5%) which was most commonly observed in the upper zones (left 76.9%; right 76.9%).

Six (46.2%) patients had more than 3 lung zones involved. 7 (53.8%) patients had pleural thickening or effusion. 2(15.4%) patients had hilar or mediastinal adenopathy.CPK was high in 3/10 and LDH in 8/9.
Conclusion In patients with the novel swine flu infection, the most common CT scan manifestation in our center was ground glass opacities in the upper lung zones.

Rating:

Share or cite this content

Citations should be made in the following way:
B. Saidi, M. Bakhshayesh-Karam, P. Tabarsi, S. Zahirifard (Tehran, Islamic Republic Of Iran). Computed tomography findings of the new swine flu influenza A (H1N1). Eur Respir J 2010; 36: Suppl. 54, 5286

Member's Comments

No comment yet.

Related content which might interest you: Comparison between H1N1 influenza and other lung viral diseases presented by computerized tomography Source: Annual Congress 2010 - Influenza A (H1N1): characteristics, risk factors and prognosis Year: 2010 Computerized tomography of the lung in pediatric cases of H1N1 influenza Source: Annual Congress 2010 - Parenchmya and bronchial carcinoma Year: 2010 Second year of H1N1 influenza: CT of the rare complications Source: Annual Congress 2011 - Imaging in oncology and infectious diseases Year: 2011 Evaluation of pneumonia cases due to pandemic influenza A (H1N1) Source: Annual Congress 2010 - Influenza A (H1N1): epidemiology Year: 2010 Swine-origin influenza A (H1N1) pneumonia: Clinical and radiological evaluations Source: Annual Congress 2010 - Influenza A (H1N1): epidemiology Year: 2010 Pneumonia and pandemic influenza virus A (H1N1/09). Immediate and remote results Source: Annual Congress 2011 - Influenza A (H1N1): lessons after the epidemic Year: 2011 Regional features of pneumonia caused by influenza during epidemics of influenza virus A (H1N1) in western Ukraine Source: Annual Congress 2010 - Influenza A (H1N1) and other viral infections: therapeutic aspects Year: 2010 Have clinical characteristics of H1N1 (2009) influenza become different as pandemic is increasingly expanding? Source: Annual Congress 2010 - Influenza A (H1N1): epidemiology Year: 2010 Early diagnosis and causal treatment of pneumonia associated with pandemic influenza A (H1N1) virus Source: Annual Congress 2012 - Respiratory infections: a clinical point of view Year: 2012 The severity of pandemic H1N1 influenza in Albania Source: Annual Congress 2010 - Pulmonary infections and sepsis Year: 2010 The influenza pandemic: 1918 compared to 2005 Source: Annual Congress 2005 - New developments in infectious disease Year: 2005 Bacterial coinfections in swine influenza (H1N1) pneumonia Source: Annual Congress 2010 - Influenza A (H1N1): characteristics, risk factors and prognosis Year: 2010 Influenza H1N1 with pneumonia Source: Annual Congress 2010 - Influenza A (H1N1) and other viral infections: therapeutic aspects Year: 2010 Early clinical abnormalities after H1N1 influenza pneumonia Source: Annual Congress 2011 - Influenza A (H1N1): lessons after the epidemic Year: 2011 Influenza pneumonia: a comparison between seasonal influenza virus and the H1N1 pandemic Source: Eur Respir J 2011; 37: 106-111 Year: 2011 Preventing the next influenza pandemic Source: International Congress 2015 – PG11 Emerging infectious diseases and pandemic planning Year: 2015 Management of resistant strain of swine flu H1N1 2009 Source: Annual Congress 2010 - Influenza A (H1N1) and other viral infections: therapeutic aspects Year: 2010 ARDS in patients with 2009 H1N1 influenza: Preliminary data Source: Annual Congress 2010 - Pulmonary infections and sepsis Year: 2010