https://doi.org/10.4081/cdr.12.12812

Secondary Organizing Pneumonia complicating influenza B

Vol. 12 (2024): Early Access
Submitted: 15 July 2024
Accepted: 21 August 2024
Published: 23 August 2024
Secondary Organizing Pneumonia, atoll sign, influenza B
Abstract Views: 101
PDF: 37
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Rahul Tyagi
rahultyagi4960@gmail.com
Department of Respiratory Medicine, Army Institute of Cardiothoracic Sciences/Armed Forces Medical College, Pune, India.
Utkarsh Suyal
https://orcid.org/0009-0003-6131-9939
Department of Respiratory Medicine, Army Institute of Cardiothoracic Sciences/Armed Forces Medical College, Pune, India.
Kislay Kishore
https://orcid.org/0009-0003-6628-0332
Department of Respiratory Medicine, Army Institute of Cardiothoracic Sciences/Armed Forces Medical College, Pune, India.
Monika Aggarwal
Department of Pathology, Army Institute of Cardiothoracic Sciences/Armed Forces Medical College, Pune, India.
Shrinath V.
Department of Respiratory Medicine, INHS Asvini, Mumbai, India.

Influenza A and B viruses cause acute viral respiratory illness and can cause various respiratory complications including influenza pneumonia and coinfection with other bacteria. Secondary Organizing Pneumonia (SOP) has rarely been reported as a complication of influenza pneumonia. Most of these cases are secondary to influenza A. SOP due to influenza B is seldom reported. We report a patient with influenza B pneumonia with persistent clinical and radiological worsening despite antivirals and antibiotics. A differential diagnosis of either secondary infection or SOP was considered. The patient underwent fibreoptic bronchoscopy and bronchoalveolar lavage which ruled out infection. The patient was managed as SOP with steroids and had a good response to treatment. The use of steroids in influenza has been shown to worsen mortality. However, in our patient, once infection was ruled out, steroids proved to be lifesaving.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
Uyeki TM, Hui DS, Zambon M, et al. Influenza. Lancet. 2022;400:693-706. DOI: https://doi.org/10.1016/S0140-6736(22)00982-5
Asai N, Yokoi T, Nishiyama N, et al. Secondary organizing pneumonia following viral pneumonia caused by severe influenza B: a case report and literature reviews. BMC Infect Dis. 2017;17:572. DOI: https://doi.org/10.1186/s12879-017-2677-1
Cornejo R, Llanos O, Fernández C, et al. Organizing pneumonia in patients with severe respiratory failure due to novel A (H1N1) influenza. BMJ Case Rep. 2010;2010:bcr0220102708. DOI: https://doi.org/10.1136/bcr.02.2010.2708
Gómez-Gómez A, Martínez-Martínez R, Gotway MB. Organizing pneumonia associated with swine-origin influenza A H1N1 2009 viral infection. AJR Am J Roentgenol. 2011;196:W103-4. DOI: https://doi.org/10.2214/AJR.10.4689
He H, Wang H, Li X, et al. Successful management of refractory respiratory failure caused by avian influenza H7N9 and secondary organizing pneumonia: a case report and literature review. BMC Infect Dis. 2019;19:671. DOI: https://doi.org/10.1186/s12879-019-4306-7
Kwok WC, Lam SH, Wong MP, et al. Influenza B/Streptococcal co-infection complicated by organizing pneumonia. Respirol Case Rep. 2016;4:e00170. DOI: https://doi.org/10.1002/rcr2.170
Liu H, Li J, Chen M, Su J. Glucocorticoid treatment of suspected organizing pneumonia after H7N9 infection: a case report. Medicine (Baltimore). 2019;98:e16839. DOI: https://doi.org/10.1097/MD.0000000000016839
Nuñez-Conde A, Marquez-Algaba E, Falcó V, et al. Organizing pneumonia secondary to influenza infection: two case reports and a literature review. Enferm Infecc Microbiol Clin (Engl Ed). 2020;38:123-6. DOI: https://doi.org/10.1016/j.eimce.2019.04.021
Staud R, Ramos LG. Influenza A-associated bronchiolitis obliterans organizing pneumonia mimicking Wegener’s granulomatosis. Rheumatol Int. 2001;20:125-8. DOI: https://doi.org/10.1007/s002960000095
Shah P, Sobash PT, Vedala K, et al. An uncommon case of Secondary Organizing Pneumonia due to influenza type B. Clin Pract. 2021;11:174-7. DOI: https://doi.org/10.3390/clinpract11010024
Lansbury LE, Rodrigo C, Leonardi-Bee J, et al. Corticosteroids as adjunctive therapy in the treatment of influenza: an updated Cochrane systematic review and meta- analysis. Crit Care Med 2020;48:e98-106. DOI: https://doi.org/10.1097/CCM.0000000000004093
Zhou Y, Fu X, Liu X, et al. Use of corticosteroids in influenza- associated acute respiratory distress syndrome and severe pneumonia: a systemic review and meta-analysis. Sci Rep 2020;10:3044. DOI: https://doi.org/10.1038/s41598-020-59732-7
Shah BR, Hux JE. Quantifying the risk of infectious diseases for people with diabetes. Diabetes Care. 2003;26:510-3. DOI: https://doi.org/10.2337/diacare.26.2.510
MacIntyre CR, Chughtai AA, Barnes M, et al. The role of pneumonia and secondary bacterial infection in fatal and serious outcomes of pandemic influenza a(H1N1)pdm09. BMC Infect Dis. 2018;18:637. DOI: https://doi.org/10.1186/s12879-018-3548-0
Tendolkar MS, Tyagi R, Mullick G, Chauhan V. A rare case of H1N1 influenza-associated organizing pneumonia. J Mar Med Soc 2018;20:165-7. DOI: https://doi.org/10.4103/jmms.jmms_15_18
Ergan B, Nava S. The use of bronchoscopy in critically ill patients: considerations and complications. Expert Rev Respir Med. 2018;12:651-63. DOI: https://doi.org/10.1080/17476348.2018.1494576
Maitre B, Jaber S, Maggiore SM, et al. Continuous positive airway pressure during fiberoptic bronchoscopy in hypoxemic patients. A randomized double-blind study using a new device. Am J Respir Crit Care Med. 2000;162:1063-7. DOI: https://doi.org/10.1164/ajrccm.162.3.9910117

How to Cite

Tyagi, R., Suyal, U., Kishore, K., Aggarwal, M., & V., S. (2024). Secondary Organizing Pneumonia complicating influenza B. Chest Disease Reports, 12(1). https://doi.org/10.4081/cdr.12.12812
Copyright (c) 2024 the Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.