Radiographic findings of adenoviral pneumonia in children.

Autor: Bayhan Gİ; Ankara Yıldırım Beyazıt University, Faculty of Medicine, Ankara City Hospital, Department of Pediatric Infectious Disease, Turkey. Electronic address: gibayhan@aybu.edu.tr., Gülleroğlu NB; Ankara City Hospital, Department of Pediatric Radiology, Turkey., Çetin S; Ankara City Hospital, Department of General Pediatrics, Turkey., Erat T; Ankara City Hospital, Department of Pediatric Infectious Disease, Turkey., Yıldız S; Ankara City Hospital, Department of Pediatric Infectious Disease, Turkey., Özen S; Ankara City Hospital, Department of Pediatric Infectious Disease, Turkey., Konca HK; Ankara City Hospital, Department of Pediatric Infectious Disease, Turkey., Yahşi A; Ankara City Hospital, Department of Pediatric Infectious Disease, Turkey., Dinç B; Ankara City Hospital, Department of Microbiology, Turkey.
Jazyk: angličtina
Zdroj: Clinical imaging [Clin Imaging] 2024 Apr; Vol. 108, pp. 110111. Date of Electronic Publication: 2024 Feb 13.
DOI: 10.1016/j.clinimag.2024.110111
Abstrakt: Objective: Adenovirus pneumonia is a common cause of community-acquired pneumonia in children and can mimic bacterial pneumonia, but there are few publications on its radiographic features. This study has evaluated the chest radiography findings of community-acquired adenovirus pneumonia in children. The frequency of radiological findings mimicking bacterial pneumonia was investigated. The clinical features of patients with adenovirus pneumonia possessing radiological findings mimicking bacterial pneumonia were also evaluated.
Materials and Methods: The chest radiographs of patients diagnosed with adenovirus pneumonia were retrospectively reviewed. The chest radiographs were interpreted independently by a pediatric infectious disease specialist and a pediatric radiologist. Chest radiography findings mimicking bacterial pneumonia (bacterial-like) were specified as consolidation +/- pleural effusion. Other findings on chest radiography or a completely normal chest X-ray were specified as findings that were compatible with "typical viral pneumonia".
Results: A total of 1407 patients were positive for adenovirus with respiratory multiplex PCR. The 219 patients who met the study criteria were included in the study. Chest radiographs were normal in 58 (26.5 %) patients. The chest radiograph findings mimicked bacterial pneumonia in 41 (18.7 %) patients.
Conclusion: Adenovirus pneumonia occurs predominantly in children aged five years and younger, as with other viral pneumonias. The radiographic findings in adenovirus pneumonia are predominantly those seen in viral pneumonia. Increasing age and positivity for only adenovirus without other viruses on respiratory multiplex PCR were associated with the chest radiograph being more likely to be "bacterial-like". Adenovirus may lead to lobar/segmental consolidation at a rate that is not very rare.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
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