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Article in Japanese
Pneumonia with pneumatocele formation due to an influenza virus and Staphylococcus aureus
Ayako Kojimaa,b Takashi Ishiguroa Masami Yamadaa,b Yotaro Takakua Naho Kagiyamaa Noboru Takayanagia
aDepartment of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center
bDepartment of Respiratory Medicine, The Jikei University Hospital
A 78-year-old female developed sore throat, fever and dyspnea, and was hospitalized to Saitama Cardiovascular and Respiratory Center (our hospital) for bilateral pneumonia. We diagnosed her as having influenza-associated pneumonia complicated with methicillin-sensitive Staphylococcus aureus (MSSA), based on a positive influenza virus rapid antigen test result, and positive culture results for MSSA from sputum and blood. Although we administered a neuraminidase inhibitor with several antibiotics, she unfortunately died and expanding ground-glass opacities and multiple cystic lesions were found in both lung fields. We considered that the multiple cystic lesions were pneumatocele complicated by pneumonia. Only 4 cases of MSSA infection were included among 210 influenza-associated pneumonia cases at our hospital, and there were no cases of pneumatocele development.
Influenza Pneumonia Staphylococcus aureus Pneumatocele
Received 28 Jan 2019 / Accepted 15 May 2019
AJRS, 8(5): 322-326, 2019