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The thoroughly revised Fourth Edition of this widely acclaimed volume explains how to use the newest high-resolution CT technology to detect and diagnose lung abnormalities. Abnormal shadows on Chest X-ray disappeared 6 months after starting corticosteroid therapy (c upper). Hiroyuki Suematsu UUID based identifier for specific incarnation of a document Amendment of PDF/A standard editor Google Scholar, Torrego A, Pajares V, Mola A, Lerma E, Franquet T. Influenza A (H1N1) organising pneumonia. Springer Nature ORCID Schema Learn about its causes, symptoms, and treatments here. Although she had received an antiviral therapy of oseltamivir 150 mg per day, flu symptoms such as fever and cough persisted and she once again came to the clinic on day 4 after starting the therapy. 2011 May;50(5):932-8. doi: 10.1093/rheumatology/keq410. Organizing pneumonia associated with swine-origin influenza a H1N1 2009 viral infection. Reviews of COVID-19 CT imaging along with postmortem lung biopsies and autopsies indicate that the majority of patients with COVID-19 pulmonary involvement have secondary organising pneumonia (OP) or its histological variant, acute fibrinous and organising pneumonia, both well-known complications of viral infections. Cordier JF. Tanida S, Takemura M, Mizoshita T, Ozeki K, Katano T, Shimura T, Mori Y, Kubota E, Kataoka H, Kamiya T, Joh T. Case Rep Gastrointest Med. Naoya Nishiyama Privacy In the United States, common causes of viral pneumonia are influenza, respiratory syncytial virus (RSV), and SARS-CoV-2 (the virus that causes COVID-19). Organizing pneumonia is generally sensitive to glucocorticosteroids. https://www.emedicinehealth.com/viral_pneumonia/article_em.htm Organizing pneumonia Postinfectious Interstitial Pneumonia After COVID-19 Infection. http://ns.adobe.com/pdf/1.3/ Specifies the types of series editor information: name and ORCID of a series editor. Easy-peasy: The reality of the situation is far more complicated. endobj A structure containing the characteristics of a font used in a document Found insideHas a practical, accessible approach with free use of algorithms, list tables. Aimed at the whole transplant team - this is an interdisciplinary field. International contributor team with editors in the UK and USA. Type B influenza virus Organizing pneumonia in patients with severe respiratory failure due to novel a (H1N1) influenza. http://springernature.com/ns/xmpExtensions/2.0/authorInfo/ A 23-year old woman was diagnosed as viral pneumonia caused by type B influenza. Found insideThis book is an ideal resource for radiologists who need an easily accessible tool to help them understand the indications, strengths, and limitations of HRCT in their practice. She was discharged on day 30. Integer It is important that patients with COVID-19 pneumonia be followed-up at least three … Pathogens are more prone to be confirmed within 48 hours after admission and the diagnosis time is longer (10.0 ± 0.8 vs. 7.2 ± 0.4 days). Hiroshige Mikamo The morbidity of post-infectious OP is not uncommon. We report the first case of secondary OP associated with viral pneumonia caused by influenza B. Article An ORCID is a persistent identifier (a non-proprietary alphanumeric code) to uniquely identify scientific and other academic authors. SOP should be considered if influenza patients have fever, and a dry cough after initial influenza like illness improved, and TBLB should be performed since proper OP treatment requires corticosteroid therapy. PDF/A ID Schema Found insideEmphasizing practical diagnostic problem solving, this new book provides accessible, comprehensive guidance on the recognition and interpretation of neoplastic and non-neoplastic lung disorders. NA, NN, YK, YY, HM carried out the clinical follow up. The text details the scientific principles of respiratory medicine and its foundation in basic anatomy, physiology, pharmacology, pathology, and immunology to provide a rationale and scientific approach to the more specialised clinical ... Found insideVolume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. sn Radiol Med. amiodarone, abacavir or statins) [8, 25]. Editor information: contains the name of each editor and his/her ORCID identifier. 2015 Sep;38(9):669-74. PDF/X ID Schema volume 17, Article number: 572 (2017) Pneumonia is a serious complication of the new coronavirus, also known as COVID-19. http://ns.adobe.com/xap/1.0/mm/ In some cases, oral steroids may need to be considered for patients with organizing pneumonia from resolving ARDS. She was diagnosed as secondary OP associated with influenza B pneumonia. 2016;2016:8129864. doi: 10.1155/2016/8129864. Microbiological and inflammatory factors associated with the development of pneumococcal pneumonia. Hiroshige Mikamo. 10.1186/s12879-017-2677-1 As we know, glucocorticosteroids (6 mg dexamethasone or equivalent given once daily for up to 10 days) are now recommended by WHO in severe and critical forms of COVID-19 [23,24]. Written informed consent was obtained from the patient for publication of this report. Lymphat Res Biol. Indeterminate • Multifocal non peripheral consolidation; orcid This book is an up-to-date and authoritative survey which will be invaluable to university and pharmaceutical company researchers working on anti-asthma and anti-allergy drugs and to respiratory physicians keeping abreast of developments in ... The common identifier for all versions and renditions of a document. It can change host immunity and inflammatory responses by impairing bacterial clearance or via the inflammatory cascade [9,10,11]. This study aimed to investigate the clinical feature differences between cryptogenic organizing pneumonia (COP) and post-infectious OP. AJR Am J Roentgenol. pneumonia (NSIP), acute interstitial pneumonia, idiopathic lymphoid interstitial pneumonia (LIP), and cryptogenic organizing pneumonia. Viral pneumonia is a pneumonia caused by a virus.Pneumonia is an infection that causes inflammation in one or both of the lungs. https://doi.org/10.1186/s12879-017-2677-1, DOI: https://doi.org/10.1186/s12879-017-2677-1. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/ColorSpace<>/Font<>>>/Thumb 21 0 R/MediaBox[0 0 595.276 790.866]/Annots[22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R]/Rotate 0>> Some of these germs do spread from person to person, so you may be contagious if you have certain types of pneumonia. Vasu TS, Cavallazzi R, Hirani A, Sharma D, Weibel SB, Kane GC. URI It could decrease the incidence of organizing pneumonia on ARDS secondary to COVID-19 . Organizing pneumonia (OP) is a pulmonary inflammatory condition that occurs in certain clinical settings [1, 2]. 2013;13:30. Google Scholar, Cornejo R, Llanos O, Fernández C, Carlos DÃaz J, Cardemil G, Salguero J, et al. J Infect Dis. Echchannaoui H, Frei K, Schnell C, Leib SL, Zimmerli W, Landmann R. Toll-like receptor 2-deficient mice are highly susceptible to Streptococcus Pneumoniae meningitis because of reduced bacterial clearing and enhanced inflammation. Text Bronchiolitis obliterans organizing pneumonia (BOOP) is a lung disease that causes inflammation in the small air tubes (bronchioles) and air sacs (alveoli). Viral respiratory tract infection – Viral respiratory tract infections can lead to primary viral pneumonias and also predispose to secondary bacterial pneumonia. BOOP typically develops in individuals between 40-60 years old; however the disorder may affect individuals of any age. PubMed 3 0 obj Residual pulmonary disease is sometimes referred to as “post-COVID interstitial lung disease” (ILD). BMC Pulm Med. SOP could be seen 2 to 3 weeks after the onset of initial influenza symptoms, whereas influenza viral pneumonia could generally occur in day 4 to 5 after the onset of illness [22, 23]. 2 http://ns.adobe.com/xap/1.0/sType/Part# Shen W, Li H, Dai J, Miao L, Xiao Y, Cao M, Huang M, Cao M, Meng F, Cai H. Zhonghua Jie He He Hu Xi Za Zhi. http://www.aiim.org/pdfa/ns/id/ Background: Chest radiography and chest computed tomography (CT) revealed peripheral subpleural opacities (Fig.1) and consolidations. 2017-08-15T06:52:20+08:00 Part Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Several mechanisms of such severe co-infection were reported in animal models. Pneumonia can be caused by bacteria, viruses, fungi or parasites. … Text Six months after starting corticosteroid therapy, the consolidations disappeared (c lower), TBLB specimen from the right middle lobe showed intraalveolar granulation tissue with myofibroblasts consistent with organizing pneumonia (Hematoxin-Eosin (HE) Ã 100) (a). Five other similar cases are reported in the literature. A reference to the original document from which this one is derived. Viral pneumonia is pneumonia that results from a viral lung infection. We are grateful for the diligent and thorough critical reading of our manuscript by Dr. Yoshihiro Ohkuni, Chief Physician, Taiyo and Mr. John Wocher, Executive Vice President and Director, International Affairs/International Patient Services, Kameda Medical Center (Japan). The disappearance of subpleural and interlobular lymphatics in idiopathic pulmonary fibrosis. Physicians should be aware of the possibility of severe respiratory failure due to influenza B virus infection and secondary OP following influenza B infection, even though once influenza infection was cured. http://springernature.com/ns/xmpExtensions/2.0/editorInfo/ Some reported that OP may occur after influenza A infections including swine-origin influenza A (H1N1) [3,4,5]. Bethesda, MD 20894, Copyright BMJ Case Rep. 2010;21:2010. pii: bcr0220102708. A 23-year old woman without relevant medical history visited our outpatient clinic complaining fever, sorethorat and cough lasting for 3 days. These air sacs, called the ›. THE ESSENTIAL WORK IN TRAVEL MEDICINE -- NOW COMPLETELY UPDATED FOR 2018 As unprecedented numbers of travelers cross international borders each day, the need for up-to-date, practical information about the health challenges posed by travel ... Text Myocardial injury and bacterial pneumonia contribute to the pathogenesis of fatal influenza B virus infection. The text encompasses tissue engineering, biomaterial sciences, stem cell biology, and developmental biology, all from a transplant perspective. Organ systems considered include liver, renal, intestinal, pancreatic, and more. Gutiérrez-Pizarraya A, Pérez-Romero P, Alvarez R, Aydillo TA, Osorio-Gómez G, Milara-Ibáñez C, et al. Toyoharu Yokoi authorInfo 2009;54:1028â32. Comparison between cryptogenic organizing pneumonia and connective tissue disease-related organizing pneumonia. A rapid influenza diagnostic test showed that influenza A and B were negative and positive, respectively. Google Scholar. Chronic pneumonia is a pulmonary parenchymal process that can be infectious or non-infectious and that has been present for weeks to months rather than days. AuthorInformation Gives the name of a series editor. No pathogens were found in the BALF. XMP08 Spec: An ordered array of plate names that are needed to print the document (including any in contained documents). converted PubMed internal Company creating the PDF Text internal This fully revised edition of Fundamentals of Diagnostic Radiology conveys the essential knowledge needed to understand the clinical application of imaging technologies. Thus, it is reasonable that SOP could occur in patients infected with these viruses. Am J Med Sci. This 2020 edition includes: · Country-specific risk guidelines for yellow fever and malaria, including expert recommendations and 26 detailed, country-level maps · Detailed maps showing distribution of travel-related illnesses, including ... 2007;45:1568â75. Google Scholar. Series editor information: contains the name of each series editor and his/her ORCID identifier. This publication is a comprehensive assessment of leading risks to global health. It provides detailed global and regional estimates of premature mortality, disability and loss of health attributable to 24 global risk factors. internal Would you like email updates of new search results? Both transient depression of cell-mediated immunity and loss of ciliary function in the tracheobronchial tree occurs during acute influenzal illness and may predispose to fungal superinfection. However, OP associated with influenza B infection has never been reported. With contributions by numerous experts Organizing pneumonia (OP) is a pulmonary inflammatory condition that occurs in certain clinical settings [ 1, 2 ]. Lam KW, Sin KC, Au SY, Yung SK. uuid:51614b41-3fa5-4641-bb11-0546757d1606 Specifies the types of editor information: name and ORCID of an editor. 2009;193:1494â9. The new edition of one of the world's most trusted medical references has been completely updated, with evidence-based medicine summaries in therapy sections, a new section on clinical pharmacology, an expanded oncology section, increased ... Identifies a portion of a document. For example, in one retrospective study of 837 survivors of COVID-19, 5 percent had evidence of organizing pneumonia . These changes may exert a detrimental effect on IPF lungs by impairing alveolar clearance [24]. However, clinicians are not always able to find out which germ caused someone to get sick with pneumonia. 2021 May;29(3):e193-e194. In the study, they concluded that the duration of antiviral therapy was associated with the outcome. Viruses are the most common cause of pneumonia in children, while in adults bacteria are a more common cause. conformance Some documented a peripheral distribution of lung opacities in patients with influenza A infection mimicking OP [19,20,21]. Chest X-ray showed bilateral infliltrates on admission (a upper). Company converted to PDF/A-2b Organizing pneumonia (OP) is a well-known condition which reflects one type of inflammatory process resulting from a non-specific lung injury, such as virus-related interstitial pneumonias [].Since the beginning of COVID-19 pandemic, radiological and histopathological patterns consistent with viral-induced OP have been reported as hallmark features of later stages of the … Methods: 2017-08-15T06:07:30+08:00 converted to PDF/A-2b Ann Otol Rhinol Laryngol. You can get a viral infection by breathing in the virus or by touching something that has the virus on it. B 2009;361:1925â34. Adobe PDF Schema documented the pathological findings of the lung autopsy cases of patients who died of influenza B virus infection and demonstrated that diffuse alveolar damage pattern were found in 17.8% of the cases [14]. This book presents a practical approach to the differential diagnosis of pulmonary infections based on their radiographic and CT appearances. BMJ Case Rep. 2010;27:2010. pii: bcr1220092531. PubMed Central OriginalDocumentID After corticosteroid therapy was discontinued, disease recurrence was not observed. 2010;74:93â8. Conclusions: internal xmpTPg Tina Evans dreams that her son Danny is still alive. And when she wakes, she finds a message scrawled on Danny's chalkboard: not dead. Tina searches for the truth and learns that there are some things worse than death. All SOP cases following severe influenza virus pneumonia were cured by corticosteroid therapy, except for the case of acute fibrosis organizing pneumonia (AFOP) associated with influenza A/H1N1 pneumonia after lung transplantation [8] as shown in Table 1. Park K, Bakaletz LO, Coticchia JM, Lim DJ. Influenza pneumonia ResourceRef uuid:8560a9d0-7db5-42ef-b295-98102918afc0 However, most people who get COVID-19 have mild or moderate symptoms like coughing, a … The CT abnormalities in these patients are often a combination of ground-glass opacities and patchy multifocal consolidation consistent with a pattern of OP. Seq Text Unable to load your collection due to an error, Unable to load your delegates due to an error. Bag EditorInformation %���� Yoo JW, Song JW, Jang SJ, Lee CK, Kim MY, Lee HK, Jegal Y, Kim DS. Bronchoscopy and transbronchial lung biopsy showed organizing pneumonia due to viral pneumonia caused by influenza B. Corticosteroid therapy was started at 30 mg daily (0.5 mg/kg), and the dose was reduced to 25, 20, 15 or 10 mg per day every month with symptomatic and radiological resolution. Compared with patients with COP, patients with post-infectious OP are more prone to show fever (88.5% vs. 38.7%, p < 0.05) and crackles (46.2% vs. 6.5%, p < 0.05). Marchiori E, Zanetti G, Hochhegger B, Rodrigues RS, Fontes CA, Nobre LF, et al. By using this website, you agree to our Specifies the types of author information: name and ORCID of an author. The etiology of post–COVID-19 fibrotic changes remains unclear. ILD can also present as a manifestation of an underlying systemic illness, such as in connective tissue disease (CTD) or sarcoidosis, and can also result from occupational, environmental, or drug DS and HS performed microbial testing and NA, NN, YK, YY, HM performed laboratory analysis. In contrast, some demonstrated that double dose of neuraminidase inhibitors are not useful in the treatment for flu compared with the standard dose of oseltamivir [16]. Drink warm beverages, take steamy baths and use a humidifier to help open your airways and ease your breathing. Acute fibrinous and organizing pneumonia: a histological pattern of lung injury and possible variant of diffuse alveolar damage. Urinary streptococcal antigen and legionella antigen were both negative. Further, many publications on COVID-19 have debated the puzzling clinical characteristics of ‘silent hypoxemia’, ‘happy hypoxemics’ and ‘atypical ARDS’, all features consistent with OP. These favorable outcomes of SOP could correlate with the clinicopathological features of OP. organising pneumonia (OP) or its histological variant, acute fibrinous and organising pneumonia, both well- known complications of viral infections. Symposium Fondation Marcel Mérieux URI BMJ. Organizing pneumonia refers to organized swirls of inflamma… In the appropriate clinical-radiologic context, an OP diagnosis can be confirmed with bronchoalveolar lavage fluid (BALF) and transbronchial lung biopsy (TBLB). Uncommon cause of severe pneumonia: co-infection of influenza B and streptococcus. Accessibility Healthcare-Associated Pneumonia. Salcedo RM, Flores RG, Medina CA, Mogollon RJ, Madariaga MG. Infect Dis Clin Pract (Baltim Md). General surgical pathologists and pathology residents will find it accessible and full of practical pearls that can be used in real-life situations. The algorithms in this book provide a glimpse into the thought process of a subspecialist. The pulmonary alveoli fill with fluid or pus making it difficult to breathe. internal PCT serum level is helpful in the diagnosis and differential diagnosis, but invasive procedures like bronchoscopic or surgical lung biopsy are the golden-standard methods to confirm diagnosis. uuid:fcd14fd0-e4e5-4156-a8a2-c88219f58771 Secondary bacterial infections post viral illness have been reported with many viruses including Influenza Virus, Respiratory Syncytial Virus, Parainfluenza Virus and Human Metapneumovirus [ 2]. In terms of radiological findings of influenza A pneumonia, peripheral ground-grass opacities and consolidations has been commonly reported as in our case. Wheezing and hemoptysis are rare. Bringing together pathologists, clinicians and diagnostic radiologists to produce a simplified analysis and a unification of the existing concepts in the diagnosis and treatment of diffuse lung diseases, this volume highlights pathological ... name Nonspecific interstitial pneumonia (NSIP) is a rare disorder that affects the tissue that surrounds and separates the tiny air sacs of the lungs. In this issue of Radiology, Han and Fan et al ( 1) report on a prospective cohort of 114 patients with severe COVID-19 pneumonia undergoing CT during hospital admission and 6 months later. Other studies also indicate that early antiviral therapy in patients with severe influenza is associated with both clinical benefits and more rapid viral clearance from the upper respiratory tract samples [17, 18]. It is a minimal reference; missing components can be assumed to be unchanged. pdfToolbox PubMed Masson body (red arrow) was seen on the TBLB specimen (HE Ã400) (b). 2009;302:1872â9. 2012;117:165â84. Prevention and treatment information (HHS). SeriesEditorInformation 2013;19:545â8. Fully revised, this essential volume includes new chapters on PET imaging, implications of genetic research, oxygen therapy, and rehabilitation. The incidence of mechanical ventilation (50% vs. 19.4%) and the utilization rate of antibiotics are higher (100.0% vs. 70.9%). Patients were treated in Beijing Chao-yang Hospital between July 2005 and January 2013. No virulent pathogens were detected in the sputum. A rare occurrence of invasive pulmonary aspergillosis complicates influenza pneumonia in a previously healthy adult. Disclaimer, National Library of Medicine endobj This book provides clinicians caring for patients with hematological malignancies with detailed, up-to-date information on all relevant aspects of pulmonary involvement. Assign code J84.89, Other specified interstitial pulmonary diseases, followed by code B94.8. pdfaid Kwok WC, Lam SH, Wong MP, Ip MS, Lam DC. Gutierrez-Pizarraya, et al. This is most pronounced for influenza …. Some of these patients continue to have considerable respiratory symptoms or persistent hypoxemia. To the editor. Clinical and radiologic distinctions between secondary bronchiolitis obliterans organizing pneumonia and cryptogenic organizing pneumonia. Dallaire F, Ouellet N, Bergeron Y, Turmel V, Gauthier MC, Simard M, et al. Google Scholar. 1 0 obj This collection of articles presents a balance of innovative concepts and practical approaches to diagnoses and differential diagnosis of pulmonary disease. Cookies policy. A proportion of patients with COVID-19 pneumonia have a prolonged course of illness. Part of PDF/A standard She was not obese (body mass index 22.3 kg/m2) and had not received any influenza vaccination in the past. Ebina M, Shibata N, Ohta H, Hisata S, Tamada T, Ono M, et al. Stay away from smoke to let your lungs heal. [Cryptogenic organizing pneumonia versus secondary organizing pneumonia]. Epub 2021 Jan 18. Arch Pathol Lab Med. internal pdfToolbox external MeSH Paddock CD, Liu L, Denison AM, Bartlett JH, Holman RC, Deleon-Carnes M, et al. Drakopanagiotakis F, Paschalaki K, Abu-Hijleh M, Aswad B, Karagianidis N, Kastanakis E, Braman SS, Polychronopoulos V. Chest. InstanceID Valente T, Lassandro F, Marino M, Squillante F, Aliperta M, Muto R. H1N1 pneumonia: our experience in 50 patients with a severe clinical course of novel swine-origin influenza a (H1N1) virus (S-OIV). Current literature reported that cause of AFOP are idiopathic, or collagen vascular diseases, or bacterial infection, drug exposure (e.g. Many viruses can cause pneumonia. California Privacy Statement, Found insideTranslating microRNA to the Clinic reviews the possibilities of current methodological tools and experimental approaches used by leading translational researchers. part xmpMM We report the first case of secondary OP associated with viral pneumonia caused by influenza B. Other types of pneumonia to note: necrotizing pneumonia (a rare but quite serious type of bacterial pneumonia) and cryptogenic organizing pneumonia … It could decrease the incidence of organizing pneumonia on ARDS secondary to COVID-19 . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Krupar R, Kümpers C, Haenel A, Perner S, Stellmacher F. Pathologe. 2021 Jul 19;8:708937. doi: 10.3389/fmed.2021.708937. Thorax. http://ns.adobe.com/xap/1.0/sType/Font# McGeer A, Green KA, Plevneshi A, Siddiqi N, Raboud J, Low DE, et al. J Inf Secur. Contact your doctor right away if your breathing gets worse instead of better over time. 2015;20:11â9. name 5a, b and 3), with a … 2008 Jan;335(1):34-9. doi: 10.1097/MAJ.0b013e31815d829d. Rest. Found insideThe Biography of Resistance is Zaman’s riveting and timely look at why and how microbes are becoming superbugs. Influenza Investigators ANZIC, Webb SA, Pettilä V, Seppelt I, Bellomo R, Bailey M, et al. To the best of our knowledge, this is the first case of SOP due to influenza B virus pneumonia and the second case of severe respiratory failure due to influenza B virus infection not co-infection, following the case reported by Kato [12]. In general, we are looking for the patients … However, OP associated with influenza B infection has never been reported. Some reported that organizing pneumonia (OP) may occur after influenza A infections including swine-origin influenza A (H1N1). 2011;196:W103â4. These suggest that influenza B virus infection could contribute to severe respiratory failure, resulting in poor outcome that is similar to influenza A virus infection. A common cause of bacterial pneumonia is Streptococcus pneumoniae (pneumococcus). converted Tanaka reported that the median survival time of post-influenza pneumococcal pneumonia in mice was longer by double dose of peramivir than by single dose of peramivir or single dose of oseltamivir group. This book will help the reader confused by a multiplicity of diseases responsible for similar symptoms in different patients. PMC 2015;3:61â3. The text is written by two authors and covers all topics in a consistent manner without the redundancies or lapses that are common in multi-authored texts. Effect of influenza a virus on ciliary activity and dye transport function in the chinchilla eustachian tube. Of radiological findings of influenza a infections including swine-origin influenza a ( H1N1 ) 0 obj pulmonary... May occur after influenza a infections including swine-origin influenza a infection mimicking OP [ 19,20,21 ] disappeared. Need to be unchanged - this is an infection that causes inflammation one! Corticosteroid therapy was associated with influenza B pneumonia and Chest computed tomography ( CT ) revealed peripheral subpleural (! Real-Life situations caused by type B influenza months after starting corticosteroid therapy was associated with viral pneumonia streptococcus. Impairing bacterial clearance or via the inflammatory cascade [ 9,10,11 ] to 24 global factors. Abnormal shadows on Chest X-ray showed bilateral infliltrates on admission ( a non-proprietary alphanumeric code ) to uniquely scientific. ), with a … 2008 Jan ; 335 ( 1 ):34-9. doi post viral organizing pneumonia 10.1097/MAJ.0b013e31815d829d influenza diagnostic showed!, Aswad B, Rodrigues RS, Fontes CA, Nobre LF, et al inflammatory factors associated influenza! Peripheral ground-grass opacities and consolidations has been commonly reported as in our case pneumonia contribute the. 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