Influenza Pneumonia

Chapter: Influenza Pneumonia
McMaster Section Editor(s): Mark Loeb
Section Editor(s) in Interna Szczeklika: Ewa Niżankowska-Mogilnicka, Filip Mejza
McMaster Author(s): Mark Loeb
Author(s) in Interna Szczeklika: Jan Kuś, Miłosz Jankowski
Additional Information

Definition and EtiologyTop

Influenza complicated by pneumonia rarely develops in otherwise healthy individuals. The risk is increased by chronic lung diseases (mainly chronic obstructive pulmonary disease), valvular heart disease, diabetes mellitus, nephrotic syndrome, immunosuppressive treatment, advanced age, and pregnancy. The same groups of patients are at high risk of infection with Streptococcus pneumoniae, which is a cause of pneumonia following initial infection with influenza.

DiagnosisTop

Diagnosis is based on clinical features (manifestations of pneumonia with concomitant rhinitis and myalgia) and onset during an influenza season. Chest radiographs reveal bilateral, symmetric, diffuse opacities. The diagnosis may be confirmed by isolating the virus from sputum, bronchial secretions, or a pharyngeal swab, or by immunologic studies.

TreatmentTop

Symptomatic treatment and antiviral drugs (see Influenza).

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