Influenza chest x ray: Difference between revisions

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__NOTOC__
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{{Influenza}}
{{Influenza}}
'''For more information about non-human (variant) influenza viruses that may be transmitted to humans, see [[Zoonotic influenza]]'''<br><br>
{{CMG}}; {{AE}} {{AL}}
==Overview==
[[Chest X-ray]] is not routinely done in patients with influenza.  A [[chest X-ray]] is useful to assess complications of influenza infection, such as a superimposed [[bacterial pneumonia]].


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==Chest X-ray==
*A chest x-ray may be useful in certain patients to exclude complications or superimposed infections, such as pneumonia.  
*Chest x-ray findings will be normal among most of patients, so there is no need to perform this image study in all patients.
*Findings in patients that require a chest X-ray include:<ref name="GaoLu2013">{{cite journal|last1=Gao|first1=Hai-Nv|last2=Lu|first2=Hong-Zhou|last3=Cao|first3=Bin|last4=Du|first4=Bin|last5=Shang|first5=Hong|last6=Gan|first6=Jian-He|last7=Lu|first7=Shui-Hua|last8=Yang|first8=Yi-Da|last9=Fang|first9=Qiang|last10=Shen|first10=Yin-Zhong|last11=Xi|first11=Xiu-Ming|last12=Gu|first12=Qin|last13=Zhou|first13=Xian-Mei|last14=Qu|first14=Hong-Ping|last15=Yan|first15=Zheng|last16=Li|first16=Fang-Ming|last17=Zhao|first17=Wei|last18=Gao|first18=Zhan-Cheng|last19=Wang|first19=Guang-Fa|last20=Ruan|first20=Ling-Xiang|last21=Wang|first21=Wei-Hong|last22=Ye|first22=Jun|last23=Cao|first23=Hui-Fang|last24=Li|first24=Xing-Wang|last25=Zhang|first25=Wen-Hong|last26=Fang|first26=Xu-Chen|last27=He|first27=Jian|last28=Liang|first28=Wei-Feng|last29=Xie|first29=Juan|last30=Zeng|first30=Mei|last31=Wu|first31=Xian-Zheng|last32=Li|first32=Jun|last33=Xia|first33=Qi|last34=Jin|first34=Zhao-Chen|last35=Chen|first35=Qi|last36=Tang|first36=Chao|last37=Zhang|first37=Zhi-Yong|last38=Hou|first38=Bao-Min|last39=Feng|first39=Zhi-Xian|last40=Sheng|first40=Ji-Fang|last41=Zhong|first41=Nan-Shan|last42=Li|first42=Lan-Juan|title=Clinical Findings in 111 Cases of Influenza A (H7N9) Virus Infection|journal=New England Journal of Medicine|volume=368|issue=24|year=2013|pages=2277–2285|issn=0028-4793|doi=10.1056/NEJMoa1305584}}</ref><ref name="WangZhang2013">{{cite journal|last1=Wang|first1=Qingle|last2=Zhang|first2=Zhiyong|last3=Shi|first3=Yuxin|last4=Jiang|first4=Yebin|title=Emerging H7N9 Influenza A (Novel Reassortant Avian-Origin) Pneumonia: Radiologic Findings|journal=Radiology|volume=268|issue=3|year=2013|pages=882–889|issn=0033-8419|doi=10.1148/radiol.13130988}}</ref><ref name="pmid24917607">{{cite journal| author=Lin ZQ, Xu XQ, Zhang KB, Zhuang ZG, Liu XS, Zhao LQ et al.| title=Chest X-ray and CT findings of early H7N9 avian influenza cases. | journal=Acta Radiol | year= 2014 | volume=  | issue=  | pages=  | pmid=24917607 | doi=10.1177/0284185114535209 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24917607  }} </ref>
 
:* Ground-glass opacity (most common finding)
:* Consolidation (may suggest a superimposed bacterial infection)
:* Bilateral diffuse infiltrates
:* Pleural effusion
:* Air bronchograms
:* Interlobular septal thickening
:* Centrilobular nodules
:* Cystic changes


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
{{WH}}
{{WS}}


[[Category:Disease]]
[[Category:Disease]]
[[Category:Mature chapter]]
[[Category:Pulmonology]]
[[Category:Pulmonology]]
[[Category:Influenza| ]]
[[Category:Influenza| ]]
[[Category:Infectious disease]]
[[Category:Primary care]]
[[Category:Needs content]]
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Latest revision as of 22:24, 29 July 2020

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For more information about non-human (variant) influenza viruses that may be transmitted to humans, see Zoonotic influenza

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2]

Overview

Chest X-ray is not routinely done in patients with influenza. A chest X-ray is useful to assess complications of influenza infection, such as a superimposed bacterial pneumonia.

Chest X-ray

  • A chest x-ray may be useful in certain patients to exclude complications or superimposed infections, such as pneumonia.
  • Chest x-ray findings will be normal among most of patients, so there is no need to perform this image study in all patients.
  • Findings in patients that require a chest X-ray include:[1][2][3]
  • Ground-glass opacity (most common finding)
  • Consolidation (may suggest a superimposed bacterial infection)
  • Bilateral diffuse infiltrates
  • Pleural effusion
  • Air bronchograms
  • Interlobular septal thickening
  • Centrilobular nodules
  • Cystic changes

References

  1. Gao, Hai-Nv; Lu, Hong-Zhou; Cao, Bin; Du, Bin; Shang, Hong; Gan, Jian-He; Lu, Shui-Hua; Yang, Yi-Da; Fang, Qiang; Shen, Yin-Zhong; Xi, Xiu-Ming; Gu, Qin; Zhou, Xian-Mei; Qu, Hong-Ping; Yan, Zheng; Li, Fang-Ming; Zhao, Wei; Gao, Zhan-Cheng; Wang, Guang-Fa; Ruan, Ling-Xiang; Wang, Wei-Hong; Ye, Jun; Cao, Hui-Fang; Li, Xing-Wang; Zhang, Wen-Hong; Fang, Xu-Chen; He, Jian; Liang, Wei-Feng; Xie, Juan; Zeng, Mei; Wu, Xian-Zheng; Li, Jun; Xia, Qi; Jin, Zhao-Chen; Chen, Qi; Tang, Chao; Zhang, Zhi-Yong; Hou, Bao-Min; Feng, Zhi-Xian; Sheng, Ji-Fang; Zhong, Nan-Shan; Li, Lan-Juan (2013). "Clinical Findings in 111 Cases of Influenza A (H7N9) Virus Infection". New England Journal of Medicine. 368 (24): 2277–2285. doi:10.1056/NEJMoa1305584. ISSN 0028-4793.
  2. Wang, Qingle; Zhang, Zhiyong; Shi, Yuxin; Jiang, Yebin (2013). "Emerging H7N9 Influenza A (Novel Reassortant Avian-Origin) Pneumonia: Radiologic Findings". Radiology. 268 (3): 882–889. doi:10.1148/radiol.13130988. ISSN 0033-8419.
  3. Lin ZQ, Xu XQ, Zhang KB, Zhuang ZG, Liu XS, Zhao LQ; et al. (2014). "Chest X-ray and CT findings of early H7N9 avian influenza cases". Acta Radiol. doi:10.1177/0284185114535209. PMID 24917607.

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