Scott John D, Englund Janet A, Myerson David, Geballe Adam P
Department of Medicine, University of Washington, Harborview Medical Center, 325 Ninth Avenue, Box 359938, Seattle, WA 98104-2499, USA.
J Clin Virol. 2004 Oct;31(2):96-9. doi: 10.1016/j.jcv.2004.05.010.
Stem cell transplant recipients are susceptible to pulmonary infections, including influenza A. Typically, isolated influenza pneumonia has a diffuse, interstitial infiltrate pattern.
To describe the unusual clinical and radiographic course of influenza A pneumonia in a stem cell transplant recipient.
Case report in which microbiologic assays, bronchoscopic and pathologic specimens are obtained.
We describe a patient with influenza A pneumonia 8 months following a peripheral blood stem cell transplant who presented with minimal respiratory symptoms and rapidly progressing, focal pulmonary infiltrates. The large size and appearance of the masses have not been reported before in a patient with isolated influenza.
This case highlights the differences of presentation and importance of early diagnosis and treatment of immunocompromised patients infected with influenza.
