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Comparison of initial high resolution computed tomography features in viral pneumonia between metapneumovirus infection and severe acute respiratory syndrome

Identifieur interne : 000B57 ( Pmc/Checkpoint ); précédent : 000B56; suivant : 000B58

Comparison of initial high resolution computed tomography features in viral pneumonia between metapneumovirus infection and severe acute respiratory syndrome

Auteurs : Cheuk Kei Kathy Wong ; Vincent Lai ; Yiu Chung Wong

Source :

RBID : PMC:7127279

Abstract

Objective

To review and compare initial high resolution computed tomography (HRCT) findings in patients with metapneumovirus pneumonia and severe acute respiratory syndrome (SARS-Coronovirus).

Materials and methods

4 cases of metapneumovirus pneumonia (mean age of 52.3 years) in an institutional outbreak (Castle Peak Hospital) in 2008 and 38 cases of SARS-coronovirus (mean age of 39.6 years) admitted to Tuen Mun hospital during an epidemic outbreak in 2003 were included. HRCT findings of the lungs for all patients were retrospectively reviewed by two independent radiologists.

Results

In the metapneumovirus group, common HRCT features were ground glass opacities (100%), consolidation (100%), parenchymal band (100%), bronchiectasis (75%). Crazy paving pattern was absent. They were predominantly subpleural and basal in location and bilateral involvement was observed in 50% of patients. In the SARS group, common HRCT features were ground glass opacities (92.1%), interlobular septal thickening (86.8%), crazy paving pattern (73.7%) and consolidation (68%). Bronchiectasis was not seen. Majority of patient demonstrated segmental or lobar in distribution and bilateral involvement was observed in 44.7% of patients. Pleural effusion and lymphadenopathy were of consistent rare features in both groups.

Conclusion

Ground glass opacities, interlobular septal thickening and consolidations were consistent HRCT manifestations in both metapneumovirus infection and SARS. The presence of bronchiectasis (0% in SARS) may point towards metapneumovirus while crazy paving pattern is more suggestive of SARS.


Url:
DOI: 10.1016/j.ejrad.2011.02.050
PubMed: 21439753
PubMed Central: 7127279


Affiliations:


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PMC:7127279

Le document en format XML

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<title>Materials and methods</title>
<p>4 cases of metapneumovirus pneumonia (mean age of 52.3 years) in an institutional outbreak (Castle Peak Hospital) in 2008 and 38 cases of SARS-coronovirus (mean age of 39.6 years) admitted to Tuen Mun hospital during an epidemic outbreak in 2003 were included. HRCT findings of the lungs for all patients were retrospectively reviewed by two independent radiologists.</p>
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<title>Results</title>
<p>In the metapneumovirus group, common HRCT features were ground glass opacities (100%), consolidation (100%), parenchymal band (100%), bronchiectasis (75%). Crazy paving pattern was absent. They were predominantly subpleural and basal in location and bilateral involvement was observed in 50% of patients. In the SARS group, common HRCT features were ground glass opacities (92.1%), interlobular septal thickening (86.8%), crazy paving pattern (73.7%) and consolidation (68%). Bronchiectasis was not seen. Majority of patient demonstrated segmental or lobar in distribution and bilateral involvement was observed in 44.7% of patients. Pleural effusion and lymphadenopathy were of consistent rare features in both groups.</p>
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<p>Ground glass opacities, interlobular septal thickening and consolidations were consistent HRCT manifestations in both metapneumovirus infection and SARS. The presence of bronchiectasis (0% in SARS) may point towards metapneumovirus while crazy paving pattern is more suggestive of SARS.</p>
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<journal-id journal-id-type="iso-abbrev">Eur J Radiol</journal-id>
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<journal-title>European Journal of Radiology</journal-title>
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<publisher-name>Elsevier Ireland Ltd.</publisher-name>
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<article-id pub-id-type="pmid">21439753</article-id>
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<article-title>Comparison of initial high resolution computed tomography features in viral pneumonia between metapneumovirus infection and severe acute respiratory syndrome</article-title>
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<contrib contrib-type="author">
<name>
<surname>Wong</surname>
<given-names>Cheuk Kei Kathy</given-names>
</name>
<email>kathyckwong@hkcr.org</email>
<xref rid="cor0005" ref-type="corresp"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lai</surname>
<given-names>Vincent</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wong</surname>
<given-names>Yiu Chung</given-names>
</name>
</contrib>
</contrib-group>
<aff>Department of Radiology, Tuen Mun Hospital, New Territories, Hong Kong</aff>
<author-notes>
<corresp id="cor0005">
<label></label>
Corresponding author. Tel.: +852 24685175; fax: +852 24663569.
<email>kathyckwong@hkcr.org</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release">
<day>25</day>
<month>3</month>
<year>2011</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub">
<month>5</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<day>25</day>
<month>3</month>
<year>2011</year>
</pub-date>
<volume>81</volume>
<issue>5</issue>
<fpage>1083</fpage>
<lpage>1087</lpage>
<history>
<date date-type="received">
<day>7</day>
<month>2</month>
<year>2011</year>
</date>
<date date-type="accepted">
<day>24</day>
<month>2</month>
<year>2011</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.</copyright-statement>
<copyright-year>2011</copyright-year>
<copyright-holder>Elsevier Ireland Ltd</copyright-holder>
<license>
<license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Objective</title>
<p>To review and compare initial high resolution computed tomography (HRCT) findings in patients with metapneumovirus pneumonia and severe acute respiratory syndrome (SARS-Coronovirus).</p>
</sec>
<sec>
<title>Materials and methods</title>
<p>4 cases of metapneumovirus pneumonia (mean age of 52.3 years) in an institutional outbreak (Castle Peak Hospital) in 2008 and 38 cases of SARS-coronovirus (mean age of 39.6 years) admitted to Tuen Mun hospital during an epidemic outbreak in 2003 were included. HRCT findings of the lungs for all patients were retrospectively reviewed by two independent radiologists.</p>
</sec>
<sec>
<title>Results</title>
<p>In the metapneumovirus group, common HRCT features were ground glass opacities (100%), consolidation (100%), parenchymal band (100%), bronchiectasis (75%). Crazy paving pattern was absent. They were predominantly subpleural and basal in location and bilateral involvement was observed in 50% of patients. In the SARS group, common HRCT features were ground glass opacities (92.1%), interlobular septal thickening (86.8%), crazy paving pattern (73.7%) and consolidation (68%). Bronchiectasis was not seen. Majority of patient demonstrated segmental or lobar in distribution and bilateral involvement was observed in 44.7% of patients. Pleural effusion and lymphadenopathy were of consistent rare features in both groups.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Ground glass opacities, interlobular septal thickening and consolidations were consistent HRCT manifestations in both metapneumovirus infection and SARS. The presence of bronchiectasis (0% in SARS) may point towards metapneumovirus while crazy paving pattern is more suggestive of SARS.</p>
</sec>
</abstract>
<kwd-group>
<title>Keywords</title>
<kwd>Metapneumovirus</kwd>
<kwd>Severe acute respiratory syndrome</kwd>
<kwd>SARS-Coronovirus</kwd>
<kwd>Atypical pneumonia</kwd>
</kwd-group>
</article-meta>
</front>
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<name sortKey="Wong, Yiu Chung" sort="Wong, Yiu Chung" uniqKey="Wong Y" first="Yiu Chung" last="Wong">Yiu Chung Wong</name>
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