KMID : 1103720110640060615
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Journal of the Korean Society of Radiology 2011 Volume.64 No. 6 p.615 ~ p.621
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Chest Radiographic Findings of Novel Swine-Origin Influenza A (H1N1) Virus Infection in Children
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Bae So-Young
Hong Hyun-Suk Chang Yun-Woo Bak Sang-Hyen Park Seong-Jin Cha Jang-Gyu Lee Hae-Kyung
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Abstract
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Purpose:To analyze chest radiographic findings in children infected with laboratoryconfirmed novel swine-origin influenza A (H1N1) virus.
Materials and Methods :Three hundred seventy-two out of 2,014 children with laboratory confirmed H1N1 infection and who also underwent a chest radiograph from September to November 2009 were enrolled in this study. Patients were divided into in-patients, out-patients, and patients with co-infections and further subdivided into with underlying disease and without underlying disease as well as age (<2 years old, 2-5 years, 5-10 years, 10-18 years old). The initial radiographs were evaluated for radiographic findings and the anatomic distribution of abnormalities.
Results:The initial radiographs were abnormal in 154 (41.39%) patients. The predominant radiographic findings were peribronchial wall opacity found in 85 (22.84%) patients and hyperinflation observed in 69 (18.54%) patients. Further, 75 (71.42%) patients exhibited central predominance and the right lower lung zone was also commonly involved. There were statistically significant differences in the radiological findings between in-patient and out-patient groups. However, there were no significant differences in the radiographic findings between in-patients and the co-infection group with respect the presence of underlying disease and age.
Conclusion:Initial radiographs of children with laboratory confirmed H1N1 virus were abnormal in 41.39% of cases. The common radiographic findings included peribronchial opacities, hyperinflation, lower lung zonal distribution, and central predominance.
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KEYWORD
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Influenza A Virus, H1N1 Subtype, Pneumonia, Children, Radiography, Thoracic
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