Lung in dengue: computed tomography findings

Detalhes bibliográficos
Autor(a) principal: Rodrigues, Rosana Souza
Data de Publicação: 2014
Outros Autores: Brum, Ana Livia Garcia, Paes, Marciano Viana, Póvoa, Tiago Fajardo, Oliveira, Carlos Alberto Basilio de, Marchiori, Edson, Borghi, Danielle Provençano, Ramos, Grazielle Viana, Bozza, Fernando Augusto
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/10589
Resumo: D’Or Institute for Research and Education
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spelling Rodrigues, Rosana SouzaBrum, Ana Livia GarciaPaes, Marciano VianaPóvoa, Tiago FajardoOliveira, Carlos Alberto Basilio deMarchiori, EdsonBorghi, Danielle ProvençanoRamos, Grazielle VianaBozza, Fernando Augusto2015-06-01T16:13:18Z2015-06-01T16:13:18Z2014RODRIGUES, Rosana Souza et al. Lung in dengue: computed tomography findings. Plos One, v. 9, n. 5, p. 1-7, 2014.1932-6203https://www.arca.fiocruz.br/handle/icict/1058910.1371/journal.pone.00963131932-6203D’Or Institute for Research and EducationInstituto de Pesquisa e Educação D`Or. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.Instituto de Pesquisa e Educação D`Or. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biotecnologia e Fisiologia de Infecções Virais. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biotecnologia e Fisiologia de Infecções Virais. Rio de Janeiro, RJ, Brasil.Universidade Federal do Estado do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio de Janeiro, RJ, Brasil.Corpo de Bombeiros Militar do Estado do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Instituto de Pesquisa e Educação D`Or. Rio de Janeiro, RJ, Brasil.Background: Dengue is the most important mosquito-borne viral disease in the world. Dengue virus infection may be asymptomatic or lead to undifferentiated fever, dengue fever with or without warning signs, or severe dengue. Lower respiratory symptoms are unusual and lung-imaging data in patients with dengue are scarce. Methodology/Principal Findings: To evaluate lung changes associated with dengue infection, we retrospectively analyzed 2,020 confirmed cases of dengue. Twenty-nine of these patients (11 females and 18 males aged 16–90 years) underwent chest computed tomography (CT), which yielded abnormal findings in 17 patients: 16 patients had pleural effusion (the sole finding in six patients) and 11 patients had pulmonary abnormalities. Lung parenchyma involvement ranged from subtle to moderate unilateral and bilateral abnormalities. The most common finding was ground-glass opacity in eight patients, followed by consolidation in six patients. Less common findings were airspace nodules (two patients), interlobular septal thickening (two patients), and peribronchovascular interstitial thickening (one patient). Lung histopathological findings in four fatal cases showed thickening of the alveolar septa, hemorrhage, and interstitial edema. Conclusions/Significance: In this largest series involving the use of chest CT to evaluate lung involvement in patients with dengue, CT findings of lower respiratory tract involvement were uncommon. When abnormalities were present, pleural effusion was the most frequent finding and lung involvement was often mild or moderate and bilateral. Extensive lung abnormalities are infrequent even in severe disease and when present should lead physicians to consider other diagnostic possibilities.engPublic Library of ScienceLung in dengue: computed tomography findingsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleDengueSevere dengueLungX-ray computed tomographyDengueDengue gravePulmãoTomografia computadorizada por raios Xinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82352https://www.arca.fiocruz.br/bitstream/icict/10589/1/license.txtafbdf7d7a9bcf771a1cc7edf5f618413MD51ORIGINALLung in dengue Computed tomography findings.pdfLung in dengue Computed tomography findings.pdfapplication/pdf1101565https://www.arca.fiocruz.br/bitstream/icict/10589/2/Lung%20in%20dengue%20Computed%20tomography%20findings.pdf023c93df1d4ca3c0d57c4ba0a4fc57b5MD52TEXTLung in dengue Computed tomography findings.pdf.txtLung in dengue Computed tomography findings.pdf.txtExtracted texttext/plain34210https://www.arca.fiocruz.br/bitstream/icict/10589/3/Lung%20in%20dengue%20Computed%20tomography%20findings.pdf.txt7fce34c7255e9403e326b2803c822441MD53icict/105892023-09-14 16:02:06.247oai:www.arca.fiocruz.br:icict/10589Q0VTU8ODTyBOw4NPLUVYQ0xVU0lWQSBERSBESVJFSVRPUyBBVVRPUkFJUwoKQW8gYWNlaXRhciBvcyBURVJNT1MgZSBDT05EScOHw5VFUyBkZXN0YSBDRVNTw4NPLCBvIEFVVE9SIGUvb3UgVElUVUxBUiBkZSBkaXJlaXRvcyBhdXRvcmFpcyBzb2JyZSBhIE9CUkEgZGUgcXVlIHRyYXRhIGVzdGUgZG9jdW1lbnRvOgoKQ0VERSBlIFRSQU5TRkVSRSwgdG90YWwgZSBncmF0dWl0YW1lbnRlLCDDoCBGSU9DUlVaIC0gRlVOREHDh8ODTyBPU1dBTERPIENSVVosIGVtIGNhcsOhdGVyIHBlcm1hbmVudGUsIGlycmV2b2fDoXZlbCBlIE7Dg08gRVhDTFVTSVZPLCAKdG9kb3Mgb3MgZGlyZWl0b3MgcGF0cmltb25pYWlzIE7Dg08gQ09NRVJDSUFJUyBkZSB1dGlsaXphw6fDo28gZGEgT0JSQSBhcnTDrXN0aWNhIGUvb3UgY2llbnTDrWZpY2EgaW5kaWNhZGEgYWNpbWEsIGluY2x1c2l2ZSBvcyBkaXJlaXRvcyAKZGUgdm96IGUgaW1hZ2VtIHZpbmN1bGFkb3Mgw6AgT0JSQSwgZHVyYW50ZSB0b2RvIG8gcHJhem8gZGUgZHVyYcOnw6NvIGRvcyBkaXJlaXRvcyBhdXRvcmFpcywgZW0gcXVhbHF1ZXIgaWRpb21hIGUgZW0gdG9kb3Mgb3MgcGHDrXNlczsKICAgICAgICAKQUNFSVRBIHF1ZSBhIGNlc3PDo28gdG90YWwgbsOjbyBleGNsdXNpdmEsIHBlcm1hbmVudGUgZSBpcnJldm9nw6F2ZWwgZG9zIGRpcmVpdG9zIGF1dG9yYWlzIHBhdHJpbW9uaWFpcyBuw6NvIGNvbWVyY2lhaXMgZGUgdXRpbGl6YcOnw6NvIApkZSBxdWUgdHJhdGEgZXN0ZSBkb2N1bWVudG8gaW5jbHVpLCBleGVtcGxpZmljYXRpdmFtZW50ZSwgb3MgZGlyZWl0b3MgZGUgZGlzcG9uaWJpbGl6YcOnw6NvIGUgY29tdW5pY2HDp8OjbyBww7pibGljYSBkYSBPQlJBLCBlbSBxdWFscXVlciAKbWVpbyBvdSB2ZcOtY3VsbywgaW5jbHVzaXZlIGVtIFJlcG9zaXTDs3Jpb3MgRGlnaXRhaXMsIGJlbSBjb21vIG9zIGRpcmVpdG9zIGRlIHJlcHJvZHXDp8OjbywgZXhpYmnDp8OjbywgZXhlY3XDp8OjbywgZGVjbGFtYcOnw6NvLCBleHBvc2nDp8OjbywgCmFycXVpdmFtZW50bywgaW5jbHVzw6NvIGVtIGJhbmNvIGRlIGRhZG9zLCBwcmVzZXJ2YcOnw6NvLCBkaWZ1c8OjbywgZGlzdHJpYnVpw6fDo28sIGRpdnVsZ2HDp8OjbywgZW1wcsOpc3RpbW8sIHRyYWR1w6fDo28sIGluY2x1c8OjbyBlbSBub3ZhcyAKb2JyYXMgb3UgY29sZXTDom5lYXMsIHJldXRpbGl6YcOnw6NvLCBlZGnDp8OjbywgcHJvZHXDp8OjbyBkZSBtYXRlcmlhbCBkaWTDoXRpY28gZSBjdXJzb3Mgb3UgcXVhbHF1ZXIgZm9ybWEgZGUgdXRpbGl6YcOnw6NvIG7Do28gY29tZXJjaWFsOwogICAgICAgIApSRUNPTkhFQ0UgcXVlIGEgY2Vzc8OjbyBhcXVpIGVzcGVjaWZpY2FkYSBjb25jZWRlIMOgIEZJT0NSVVogLSBGVU5EQcOHw4NPIE9TV0FMRE8gQ1JVWiBvIGRpcmVpdG8gZGUgYXV0b3JpemFyIHF1YWxxdWVyIHBlc3NvYSDigJMgZsOtc2ljYSAKb3UganVyw61kaWNhLCBww7pibGljYSBvdSBwcml2YWRhLCBuYWNpb25hbCBvdSBlc3RyYW5nZWlyYSDigJMgYSBhY2Vzc2FyIGUgdXRpbGl6YXIgYW1wbGFtZW50ZSBhIE9CUkEsIHNlbSBleGNsdXNpdmlkYWRlLCBwYXJhIHF1YWlzcXVlciAKZmluYWxpZGFkZXMgbsOjbyBjb21lcmNpYWlzOwogICAgICAgIApERUNMQVJBIHF1ZSBhIG9icmEgw6kgY3JpYcOnw6NvIG9yaWdpbmFsIGUgcXVlIMOpIG8gdGl0dWxhciBkb3MgZGlyZWl0b3MgYXF1aSBjZWRpZG9zIGUgYXV0b3JpemFkb3MsIHJlc3BvbnNhYmlsaXphbmRvLXNlIGludGVncmFsbWVudGUgCnBlbG8gY29udGXDumRvIGUgb3V0cm9zIGVsZW1lbnRvcyBxdWUgZmF6ZW0gcGFydGUgZGEgT0JSQSwgaW5jbHVzaXZlIG9zIGRpcmVpdG9zIGRlIHZveiBlIGltYWdlbSB2aW5jdWxhZG9zIMOgIE9CUkEsIG9icmlnYW5kby1zZSBhIAppbmRlbml6YXIgdGVyY2Vpcm9zIHBvciBkYW5vcywgYmVtIGNvbW8gaW5kZW5pemFyIGUgcmVzc2FyY2lyIGEgRklPQ1JVWiAtIEZVTkRBw4fDg08gT1NXQUxETyBDUlVaIGRlIGV2ZW50dWFpcyBkZXNwZXNhcyBxdWUgdmllcmVtIGEgCnN1cG9ydGFyLCBlbSByYXrDo28gZGUgcXVhbHF1ZXIgb2ZlbnNhIGEgZGlyZWl0b3MgYXV0b3JhaXMgb3UgZGlyZWl0b3MgZGUgdm96IG91IGltYWdlbSwgcHJpbmNpcGFsbWVudGUgbm8gcXVlIGRpeiByZXNwZWl0byBhIHBsw6FnaW8gCmUgdmlvbGHDp8O1ZXMgZGUgZGlyZWl0b3M7CiAgICAgICAgCkFGSVJNQSBxdWUgY29uaGVjZSBhIFBvbMOtdGljYSBJbnN0aXR1Y2lvbmFsIGRlIEFjZXNzbyBBYmVydG8gZGEgSW5zdGl0dWnDp8OjbyBlIGFzIGRpcmV0cml6ZXMgcGFyYSBvIGZ1bmNpb25hbWVudG8gZG8gcmVwb3NpdMOzcmlvIAppbnN0aXR1Y2lvbmFsIEFSQ0EKRepositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-09-14T19:02:06Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Lung in dengue: computed tomography findings
title Lung in dengue: computed tomography findings
spellingShingle Lung in dengue: computed tomography findings
Rodrigues, Rosana Souza
Dengue
Severe dengue
Lung
X-ray computed tomography
Dengue
Dengue grave
Pulmão
Tomografia computadorizada por raios X
title_short Lung in dengue: computed tomography findings
title_full Lung in dengue: computed tomography findings
title_fullStr Lung in dengue: computed tomography findings
title_full_unstemmed Lung in dengue: computed tomography findings
title_sort Lung in dengue: computed tomography findings
author Rodrigues, Rosana Souza
author_facet Rodrigues, Rosana Souza
Brum, Ana Livia Garcia
Paes, Marciano Viana
Póvoa, Tiago Fajardo
Oliveira, Carlos Alberto Basilio de
Marchiori, Edson
Borghi, Danielle Provençano
Ramos, Grazielle Viana
Bozza, Fernando Augusto
author_role author
author2 Brum, Ana Livia Garcia
Paes, Marciano Viana
Póvoa, Tiago Fajardo
Oliveira, Carlos Alberto Basilio de
Marchiori, Edson
Borghi, Danielle Provençano
Ramos, Grazielle Viana
Bozza, Fernando Augusto
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Rodrigues, Rosana Souza
Brum, Ana Livia Garcia
Paes, Marciano Viana
Póvoa, Tiago Fajardo
Oliveira, Carlos Alberto Basilio de
Marchiori, Edson
Borghi, Danielle Provençano
Ramos, Grazielle Viana
Bozza, Fernando Augusto
dc.subject.en.pt_BR.fl_str_mv Dengue
Severe dengue
Lung
X-ray computed tomography
topic Dengue
Severe dengue
Lung
X-ray computed tomography
Dengue
Dengue grave
Pulmão
Tomografia computadorizada por raios X
dc.subject.decs.pt_BR.fl_str_mv Dengue
Dengue grave
Pulmão
Tomografia computadorizada por raios X
description D’Or Institute for Research and Education
publishDate 2014
dc.date.issued.fl_str_mv 2014
dc.date.accessioned.fl_str_mv 2015-06-01T16:13:18Z
dc.date.available.fl_str_mv 2015-06-01T16:13:18Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.citation.fl_str_mv RODRIGUES, Rosana Souza et al. Lung in dengue: computed tomography findings. Plos One, v. 9, n. 5, p. 1-7, 2014.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/10589
dc.identifier.issn.none.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0096313
dc.identifier.eissn.none.fl_str_mv 1932-6203
identifier_str_mv RODRIGUES, Rosana Souza et al. Lung in dengue: computed tomography findings. Plos One, v. 9, n. 5, p. 1-7, 2014.
1932-6203
10.1371/journal.pone.0096313
url https://www.arca.fiocruz.br/handle/icict/10589
dc.language.iso.fl_str_mv eng
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