Roentgenographic features of common pediatric viral respiratory tract infections

S. R. Wildin, T. Chonmaitree, L. E. Swischuk

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Viral infections of the respiratory tract in infants and children are common. Little has been reported on roentgenographic findings associated with infection caused by common viruses other than with respiratory syncytial virus. We studied chest roentgenograms from 128 previously healthy infants and children who were infected with respiratory syncytial virus, parainfluenza virus, influenza virus, or adenovirus. Four common roentgenographic findings were detected: parahilar peribronchial infiltrates, hyperexpansion, segmental or lobar atelectasis, and hilar adenopathy. Diffuse interstitial infiltrates and significant pleural fluid accumulations rarely occurred in our series. We confirmed the popular but not well-documented belief that other common respiratory viruses can be associated with roentgenographic findings similar to those caused by respiratory syncytial virus. However, respiratory syncytial virus infection is associated with more abnormal chest roentgenograms than any of the other viruses regardless of the clinical syndrome. Hilar adenopathy was more common in adenovirus infection. Young infants had significantly more abnormal chest roentgenograms, with more hyperexpansion and parahilar peribronchial infiltration than older children. We also found a significant correlation between lobar atelectasis and severity of the illness. In infants and children with viral infection of the lower respiratory tract, roentgenographic information can be a useful adjunct to clinical viral diagnosis.

Original languageEnglish (US)
Pages (from-to)43-46
Number of pages4
JournalAmerican Journal of Diseases of Children
Volume142
Issue number1
StatePublished - 1988

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Respiratory Tract Infections
Respiratory Syncytial Viruses
Pediatrics
Viruses
Thorax
Pulmonary Atelectasis
Virus Diseases
Respiratory System
Adenoviridae Infections
Paramyxoviridae Infections
Respiratory Syncytial Virus Infections
Orthomyxoviridae
Adenoviridae
Infection
Lymphadenopathy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Roentgenographic features of common pediatric viral respiratory tract infections. / Wildin, S. R.; Chonmaitree, T.; Swischuk, L. E.

In: American Journal of Diseases of Children, Vol. 142, No. 1, 1988, p. 43-46.

Research output: Contribution to journalArticle

Wildin, SR, Chonmaitree, T & Swischuk, LE 1988, 'Roentgenographic features of common pediatric viral respiratory tract infections', American Journal of Diseases of Children, vol. 142, no. 1, pp. 43-46.
Wildin, S. R. ; Chonmaitree, T. ; Swischuk, L. E. / Roentgenographic features of common pediatric viral respiratory tract infections. In: American Journal of Diseases of Children. 1988 ; Vol. 142, No. 1. pp. 43-46.
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