Severe Pneumonia Caused by a Novel Influenza A (H1N1) Virus in an Asymptomatic Emphysematous Smoker

被引：1

作者：

Ozawa, Hideki ^{[2
]}

Asai, Satomi ^{[1
]}

Jin, Guilan ^{[1
]}

Hasunuma, Yuya ^{[1
]}

Tanaka, Chiharu ^{[2
]}

Ikeda, Takayuki ^{[2
]}

Kimura, Moritsugu ^{[2
]}

Ueda, Akihiro ^{[2
]}

Yamashita, Tomohiro ^{[3
]}

Miyachi, Hayato ^{[1
]}

机构：

[1] Tokai Univ, Sch Med, Dept Lab Med, Isehara, Kanagawa 25911, Japan

[2] Tokai Univ, Sch Med, Dept Internal Med, Isehara, Kanagawa 25911, Japan

[3] Tokai Univ, Sch Med, Dept Radiol, Isehara, Kanagawa 25911, Japan

来源：

INTERNAL MEDICINE | 2010年 / 49卷 / 15期

关键词：

novel influenza A (H1N1); viral pneumonia; centrilobular emphysema; smoking habits; hypoalbuminemia; hypogammaglobulinemia;

D O I：

10.2169/internalmedicine.49.3293

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 49-year-old female presented with diarrhea and a high fever followed by progressive dyspnea. Until this presentation, she had been healthy except for chronic dyspepsia and diarrhea. She had a smoking habit of 15 pack-years. Laboratory tests revealed lymphopenia, hypoalbuminemia and hypogammaglobulinemia. A rapid influenza test in combination with an RT-PCR assay revealed the presence of the novel influenza A (H1N1) virus. Chest computed tomography revealed centrilobular emphysema. This report suggests that regular smoking may become a risk for severe pneumonia in patients presenting with the novel influenza A (H1N1) virus, when accompanying asymptomatic emphysema is combined with other problems such as hypoalbuminemia and hypogammaglobulinemia.

引用

页码：1667 / 1670

页数：4

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