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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
Interstitial lung disease in infancy
S Balasubramanian1, Lalitha Janakiraman, R Ganesh
1Kanchi Kamakoti CHILDS Trust Hospital, 12-A, Nageswara road, Nungambakkam, Chennai-600 034, India. sbsped53@sify.com
Insights
Cytomegalovirus (CMV) infection is the most frequent cause of infantile interstitial lung disease (ILD). Further research is needed to understand the long-term outcomes for affected infants.
Area of Science:
- Pediatric Pulmonology
- Infectious Diseases
- Radiology
Background:
- Interstitial lung disease (ILD) in infancy presents a diagnostic challenge.
- Understanding the etiology and clinical features is crucial for timely intervention.
Purpose of the Study:
- To delineate the clinical profile of infants diagnosed with interstitial lung disease.
- To identify common causes and radiographic findings of ILD in this age group.
Main Methods:
- Retrospective analysis of 9 infants (1 month to 1 year) with ILD.
- Inclusion criteria: prolonged respiratory symptoms, diffuse chest radiography infiltrates, hypoxemia, and HRCT findings.
- Case record review for clinical data, treatment, and outcomes.
Main Results:
- Tachypnea, cough, and hypoxia were universal findings.
- Cytomegalovirus (CMV) infection was identified in 56% of cases.
- Reticulo-nodular patterns on radiography and interstitial infiltrates on HRCT were common.
Conclusions:
- CMV infection is the predominant cause of infantile ILD in this cohort.
- Long-term follow-up data are essential to fully understand the disease's impact.
Objective:
To describe the clinical profile of interstitial lung disease in infancy.
Methods:
A retrospective analysis of cases diagnosed to have ILD was carried out in Kanchi Kamakoti CHILDS Trust hospital over a period of 2 yr. Infants aged 1 month to 1 yr of age were included if they had (1) respiratory symptoms (Cough, tachypnea or crepitations) for at least 1 month (2) diffuse infiltrates on chest radiography (3) Hypoxemia as defined by oxygen saturation less than 90% by pulse oximetry and (4) High Resolution Computed Tomography (HRCT) of the chest revealing findings of interstitial infiltrates or ground glass pattern. Their case records were analyzed for clinical data, treatment and follow up details.
Results:
Of the 9 children, who were diagnosed to have ILD, 5 were boys and 4 were girls. The male: female ratio was 1.25: 1. The median age of onset of symptoms was 5 month. The common clinical features observed were tachypnea associated with chest indrawing (100%), cough (100%), hypoxia (100%), failure to thrive and fever (55%) each. The following radiographic patterns were observed in the chest skiagrams: reticulo-nodular pattern in 6(67%) and ground glass pattern in 3(33%). HRCT showed interstitial infiltrates in 6 (67%) and ground glass pattern in 3(33%). Evidence for cyto megalo virus (CMV) infection was detected in 5(56%), Adenovirus in 1 (11%) and Pneumocystis carinii (PCP) in 1(11%) infant. Open lung biopsy was performed in 2 infants, which detected CMV in 1 and PCP in the other. All children received oxygen therapy and systemic corticosteroids (oral/IV) in addition to specific therapy for infection and 3 of these infants succumbed to respiratory failure.
Conclusion:
CMV Infection was the commonest cause of ILD in infancy in our study. However, the consequences on long term follow up in these infants need to be ascertained.
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