64 multidetector CT findings of influenza A (H1 N1) virus in patients with hematologic malignancies
Identifieur interne : 002238 ( Main/Exploration ); précédent : 002237; suivant : 00223964 multidetector CT findings of influenza A (H1 N1) virus in patients with hematologic malignancies
Auteurs : Adel El-Badrawy [Égypte] ; Amany Zeidan [Égypte] ; Mohamed A. Ebrahim [Égypte]Source :
- Acta radiologica : (1987) [ 0284-1851 ] ; 2012.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Médecine nucléaire, Homme.
English descriptors
- KwdEn :
Abstract
Background: The pandemic of swine-origin H1 N1 influenza that began in early 2009 has provided evidence that radiology can assist in the early diagnosis of severe cases. Immunocompromised patients are at increased risk for morbidity and mortality. MDCT is superior to radiography in showing the distribution of the disease. Purpose: To review the 64 multidetector CT thoracic findings of novel swine-origin influenza A (H1 N1) virus in patients with hematologic malignancies. Material and Methods: This study included 12 patients (3 women, 9 men; mean age, 32.2 years). All patients proved to be infected with influenza A (H1N1) virus. The hematologic malignancies were acute myeloid leukemia (n = 8), chronic lymphocytic leukemia (n = 2), multiple myeloma (n = 1), and myelodysplastic syndrome (n = 1). All the patients underwent CT scanning using a 64 multidetector CT scanner. Chest CT scans were reviewed for ground-glass opacities (GGOs), consolidation, airway thickening/dilatation, nodules, mediastinal lymphadenopathy, and pleural effusion. Results: More than one CT finding was detected in every patient. Pulmonary affection was bilateral, more on the left side. The affections were mainly peribronchial. Airway wall thickening and dilatation were detected in all 12 patients, GGO in 9/12 patients, nodules in 6/12 patients, consolidation in 6/12 patients, hilar lymphadenopathy in 3/12 patients, and pleural effusion in 2/12 patients. Conclusion: Acute myeloid leukemia is the most common hematologic malignancy affected by influenza A (H1N1) virus. The left lung is affected more than the right one. The most common multidetector CT findings are unilateral or bilateral airway thickening and dilatation. Multidetector CT can be used for early and accurate assessment of pulmonary affection with influenza A H1 N1 virus infection.
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">64 multidetector CT findings of influenza A (H1 N1) virus in patients with hematologic malignancies</title><author><name sortKey="El Badrawy, Adel" sort="El Badrawy, Adel" uniqKey="El Badrawy A" first="Adel" last="El-Badrawy">Adel El-Badrawy</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Radiology, Mansoura Faculty of Medicine</s1><s2>Mansoura</s2><s3>EGY</s3><sZ>1 aut.</sZ></inist:fA14><country>Égypte</country><wicri:noRegion>Mansoura</wicri:noRegion></affiliation></author><author><name sortKey="Zeidan, Amany" sort="Zeidan, Amany" uniqKey="Zeidan A" first="Amany" last="Zeidan">Amany Zeidan</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Thoracic Medicine, Mansoura Faculty of Medicine</s1><s2>Mansoura</s2><s3>EGY</s3><sZ>2 aut.</sZ></inist:fA14><country>Égypte</country><wicri:noRegion>Mansoura</wicri:noRegion></affiliation></author><author><name sortKey="Ebrahim, Mohamed A" sort="Ebrahim, Mohamed A" uniqKey="Ebrahim M" first="Mohamed A." last="Ebrahim">Mohamed A. Ebrahim</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Medical Oncology, Mansoura Faculty of Medicine</s1><s2>Mansoura</s2><s3>EGY</s3><sZ>3 aut.</sZ></inist:fA14><country>Égypte</country><wicri:noRegion>Mansoura</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">12-0321911</idno><date when="2012">2012</date><idno type="stanalyst">PASCAL 12-0321911 INIST</idno><idno type="RBID">Pascal:12-0321911</idno><idno type="wicri:Area/PascalFrancis/Corpus">000575</idno><idno type="wicri:Area/PascalFrancis/Curation">001863</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000765</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000765</idno><idno type="wicri:doubleKey">0284-1851:2012:El Badrawy A:multidetector:ct:findings</idno><idno type="wicri:Area/Main/Merge">002301</idno><idno type="wicri:Area/Main/Curation">002238</idno><idno type="wicri:Area/Main/Exploration">002238</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">64 multidetector CT findings of influenza A (H1 N1) virus in patients with hematologic malignancies</title><author><name sortKey="El Badrawy, Adel" sort="El Badrawy, Adel" uniqKey="El Badrawy A" first="Adel" last="El-Badrawy">Adel El-Badrawy</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Radiology, Mansoura Faculty of Medicine</s1><s2>Mansoura</s2><s3>EGY</s3><sZ>1 aut.</sZ></inist:fA14><country>Égypte</country><wicri:noRegion>Mansoura</wicri:noRegion></affiliation></author><author><name sortKey="Zeidan, Amany" sort="Zeidan, Amany" uniqKey="Zeidan A" first="Amany" last="Zeidan">Amany Zeidan</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Thoracic Medicine, Mansoura Faculty of Medicine</s1><s2>Mansoura</s2><s3>EGY</s3><sZ>2 aut.</sZ></inist:fA14><country>Égypte</country><wicri:noRegion>Mansoura</wicri:noRegion></affiliation></author><author><name sortKey="Ebrahim, Mohamed A" sort="Ebrahim, Mohamed A" uniqKey="Ebrahim M" first="Mohamed A." last="Ebrahim">Mohamed A. Ebrahim</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Medical Oncology, Mansoura Faculty of Medicine</s1><s2>Mansoura</s2><s3>EGY</s3><sZ>3 aut.</sZ></inist:fA14><country>Égypte</country><wicri:noRegion>Mansoura</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Acta radiologica : (1987)</title><title level="j" type="abbreviated">Acta radiol. : (1987)</title><idno type="ISSN">0284-1851</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Acta radiologica : (1987)</title><title level="j" type="abbreviated">Acta radiol. : (1987)</title><idno type="ISSN">0284-1851</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Computerized axial tomography</term><term>H1N1 influenza</term><term>Human</term><term>Influenza A</term><term>Malignant hemopathy</term><term>Multidetector scanner</term><term>Nuclear medicine</term><term>Radiology</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Grippe A</term><term>Hémopathie maligne</term><term>Tomodensitométrie</term><term>Médecine nucléaire</term><term>Radiologie</term><term>Homme</term><term>Scanner X multibarrettes</term><term>Grippe H1N1</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Médecine nucléaire</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: The pandemic of swine-origin H1 N1 influenza that began in early 2009 has provided evidence that radiology can assist in the early diagnosis of severe cases. Immunocompromised patients are at increased risk for morbidity and mortality. MDCT is superior to radiography in showing the distribution of the disease. Purpose: To review the 64 multidetector CT thoracic findings of novel swine-origin influenza A (H1 N1) virus in patients with hematologic malignancies. Material and Methods: This study included 12 patients (3 women, 9 men; mean age, 32.2 years). All patients proved to be infected with influenza A (H1N1) virus. The hematologic malignancies were acute myeloid leukemia (n = 8), chronic lymphocytic leukemia (n = 2), multiple myeloma (n = 1), and myelodysplastic syndrome (n = 1). All the patients underwent CT scanning using a 64 multidetector CT scanner. Chest CT scans were reviewed for ground-glass opacities (GGOs), consolidation, airway thickening/dilatation, nodules, mediastinal lymphadenopathy, and pleural effusion. Results: More than one CT finding was detected in every patient. Pulmonary affection was bilateral, more on the left side. The affections were mainly peribronchial. Airway wall thickening and dilatation were detected in all 12 patients, GGO in 9/12 patients, nodules in 6/12 patients, consolidation in 6/12 patients, hilar lymphadenopathy in 3/12 patients, and pleural effusion in 2/12 patients. Conclusion: Acute myeloid leukemia is the most common hematologic malignancy affected by influenza A (H1N1) virus. The left lung is affected more than the right one. The most common multidetector CT findings are unilateral or bilateral airway thickening and dilatation. Multidetector CT can be used for early and accurate assessment of pulmonary affection with influenza A H1 N1 virus infection.</div></front></TEI><affiliations><list><country><li>Égypte</li></country></list><tree><country name="Égypte"><noRegion><name sortKey="El Badrawy, Adel" sort="El Badrawy, Adel" uniqKey="El Badrawy A" first="Adel" last="El-Badrawy">Adel El-Badrawy</name></noRegion><name sortKey="Ebrahim, Mohamed A" sort="Ebrahim, Mohamed A" uniqKey="Ebrahim M" first="Mohamed A." last="Ebrahim">Mohamed A. Ebrahim</name><name sortKey="Zeidan, Amany" sort="Zeidan, Amany" uniqKey="Zeidan A" first="Amany" last="Zeidan">Amany Zeidan</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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