Analysis of Imaging and Clinical Findings of Severe Adenoviral Pneumonia in Children

VernacularTitle:儿童重症腺病毒肺炎临床影像表现分析
Author: Yun ZHANG ; Hemu FU ; Hongwen DU ; Xiaohong LIU
Publication Type:Journal Article
Keywords: lung; adenoviral pneumonia; children; radiography; tomography; X-ray computed
From: Journal of Practical Radiology 2009;25(12):1804-1806
CountryChina
Language:Chinese
Abstract: Objective To investigate imaging and clinical findings of severe adenoviral pneumonia in children.Methods The imaging and clinical findings of severe adenoviral pneumonia in three children were retrospectively analyzed. All cases underwent radiography and CT examinations of chest. Results Two patiens showed fairly homogeneous opacity with air bronchograms in segmental or lobar distribution in left lung,in company with volume decreased in one case. There was interstitial change in 1 case,pleural effusion in one case and heart shadow enlarged in 3 cases. All of patients had cough and fever (range,38.4℃～40.3℃). Physical examinations showed decreased breathing sound and crackles in all cases. Laboratory findings included abnormally elevated aspartate aminotransferase,lactic dehydrogenase, hydroxybutyric dehydrogenase and creatine kinase and positive adenovirus examination in all cases. Conclusion Lobar pneumonia in company with liver and heart dysfunction should be suspected as the severe adenoviral pneumonia in children.