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Published on: April 14, 2011
Influenza pneumonia
Elina Lahti1, Ville Peltola, Raimo Virkki
1Department of Pediatrics, Turku University Hospital, Vähä-Hämeenkatu 1A3, 20500 Turku, Finland. elkrla@utu.fi
Insights
Influenza pneumonia is uncommon in children, often presenting with fever and cough. While most cases are mild with low mortality, prompt diagnosis is key.
Area of Science:
- Pediatrics
- Infectious Diseases
- Radiology
Background:
- Influenza and pneumonia are common pediatric illnesses.
- Limited research exists on influenza-related pneumonia in children.
- This study addresses the frequency and characteristics of influenza pneumonia in pediatric patients.
Purpose of the Study:
- To determine the incidence of laboratory-documented and radiologically confirmed influenza pneumonia in children.
- To characterize the clinical presentation, laboratory findings, and radiographic features of pediatric influenza pneumonia.
- To assess hospitalization rates, duration, complications, and mortality associated with influenza pneumonia in children.
Main Methods:
- Retrospective analysis of pediatric patients treated at Turku University Hospital from 1980-2003.
- Influenza A or B infection confirmed by antigen detection.
- Chest radiographs reviewed for pneumonic infiltrates; clinical and lab data collected.
Main Results:
- Pneumonia occurred in 14% of 936 children with influenza.
- Fever and cough were most common; 47% lacked specific pneumonia symptoms.
- Low white blood cell counts and C-reactive protein levels were frequent; hospitalization was 68% with a median of 2 days.
Conclusions:
- Influenza pneumonia is diagnosed in a minority of pediatric influenza cases at a tertiary center.
- Pediatric influenza pneumonia is generally a mild condition with low mortality.
- Findings contrast with adult influenza pneumonia, highlighting its typically benign course in children.
Background:
Influenza and pneumonia are common childhood illnesses, but few studies have been conducted on influenza-related pneumonia in children. The aim of this study was to describe the frequency and characteristics of laboratory-documented and radiologically detected influenza pneumonia in children.
Methods:
This study involved children treated at the Department of Pediatrics, Turku University Hospital, from 1980 through 2003. Influenza A or B infection was documented with the use of antigen detection from nasopharyngeal aspirates. Children with chest radiographs obtained during influenza episodes were identified. Chest radiographs were reevaluated by a pediatric radiologist for verification of pneumonic infiltrates. Clinical and laboratory data were collected from medical records.
Results:
Pneumonia was detected in 134 (14%) of 936 children with influenza infection. The most frequent signs of influenza pneumonia were fever and cough. Of these children, 47% had no specific clinical signs or symptoms suggesting pneumonia. White blood cell count was <15 x 10/L in 89% and serum C-reactive protein concentration <80 mg/L in 85% of the children. One-half of the children had solely interstitial infiltrates, one-fourth solely alveolar and one- fourth both alveolar and interstitial infiltrates on the chest radiograph. The hospitalization rate was 68%, and the median duration of hospitalization was 2 days. Complicated pneumonias were rare, and mortality was low (0.7%).
Conclusions:
Pneumonia is detected in a minority of children treated for influenza at a tertiary center. Unlike in adults, influenza pneumonia in children is usually a benign illness, and the mortality is low.
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