呼吸道合胞病毒感染所致的肺间质性肺气肿

Pulmonary interstitial emphysema due to respiratory syncytial virus infection.

作者信息

Aiyoshi Tsubasa, Masumoto Kouji, Shinkai Toko, Tanaka Yasunari, Fujii Shunsuke, Sasaki Takato, Chiba Fumiko, Sakamoto Naoya, Gotoh Chikashi, Urita Yasuhisa, Nakao Makoto, Takayasu Hajime, Tanaka Hideaki, Imai Hironori

机构信息

Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

Department of Pediatrics, Tsukuba Medical Center Hospital, Tsukuba, Japan.

出版信息

Pediatr Int. 2016 Sep;58(9):916-9. doi: 10.1111/ped.13013. Epub 2016 Jul 20.

DOI:10.1111/ped.13013

PMID:27435178

Abstract

Pulmonary interstitial emphysema (PIE) primarily affects premature infants on positive pressure ventilation. PIE is rarely reported in infants and children in the absence of mechanical ventilation and/or associated respiratory infection. We report a case of PIE in a 22-month-old girl who had severe respiratory distress due to respiratory syncytial virus infection. Chest computed tomography showed cystic lung lesions mimicking congenital cystic adenomatoid malformation. The cystic lesions spontaneously resolved after conservative treatment. Based on the clinical course and the chronological changes on imaging, the cystic lung lesions were diagnosed as localized persistent PIE.

摘要

肺间质肺气肿（PIE）主要影响接受正压通气的早产儿。在没有机械通气和/或相关呼吸道感染的情况下，婴儿和儿童中很少有PIE的报道。我们报告了一例22个月大女童的PIE病例，该女童因呼吸道合胞病毒感染出现严重呼吸窘迫。胸部计算机断层扫描显示肺部囊性病变，类似先天性囊性腺瘤样畸形。经保守治疗后，囊性病变自行消退。根据临床病程和影像学上的时间变化，肺部囊性病变被诊断为局限性持续性PIE。