[Lung ultrasound imaging of H1N1 influenza].
We describe the case of a 8 year-old child with acute respiratory distress syndrome (ARDS) during H1N1 swine flu. Lung ultrasound performed at the time of admission showed a typical ARDS ultrasound pattern, with multiple sonographic signs of interstitial oedema (also known as B-lines or ultrasound lung comets), and diffuse bilateral sub-pleural lung consolidations. After five days of anti-viral therapy, lung ultrasound showed a reduction of the dimension of consolidations, not clearly visible at chest X-ray, helping in the management of the patient.
Istituto di Fisiologia Clinica, Consiglio Nazionale delle Ricerche, Pisa, Italy. gargani@ifc.cnr.it
Luna
L
Gargani
Francesco
F
Forfori
Francesco
F
Giunta
Eugenio
E
Picano
D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype / Q000302:isolation & purification; D007251:Influenza, Human / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D008297:Male; D011237:Predictive Value of Tests; D011859:Radiography; D012128:Respiratory Distress Syndrome / Q000000981:diagnostic imaging* / Q000628:therapy / Q000821:virology*; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014463:Ultrasonography