Is Follow-Up Endoscopy Necessary in Upper Gastrointestinal Cytomegalovirus Disease?

doi:10.1097/md.0000000000006277

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“…In this study, 78.5% (427/544) of patients who presented with the main manifestations of respiratory symptoms underwent chest CT examination. According to our literature search, there have been no specific chest CT imaging studies on ILI cases, and to our knowledge, this study also enrolled the largest coverage of chest CT data in RTI patients ( 11 , 13 , 14 ). There were a few clinical reports about a varies of respiratory infection patients.…”

Section: Discussionmentioning

confidence: 99%

“…Taking influenza virus pneumonia as an example, the main abnormal CT characteristics are ground glass opacity and consolidation, as well as diffuse distribution in both lungs ( 16 , 31 , 32 ). Kim et al found that patients with parainfluenza virus infection are more prone to tree-in-bud opacities and bronchial wall thickening ( 14 ). At the same time, such changes tend to be in the lower lung and distributed diffusely.…”

Section: Discussionmentioning

confidence: 99%

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Clinical Characteristics and CT Findings in 148 Non-COVID-19 Influenza-Like Illness Cases: A Retrospective Control Study

Shuai

Chen

Shan

et al. 2021

Front. Public Health

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Background: This study was to collect clinical features and computed tomography (CT) findings of Influenza-Like Illness (ILI) cases, and to evaluate the correlation between clinical data and the abnormal chest CT in patients with the Influenza-Like Illness symptoms.Methods: Patients with the Influenza-Like Illness symptoms who attended the emergency department of The Six Medical Center of The PLA General Hospital from February 10 to April 1, 2020 were enrolled. Clinical and imaging data of the enrolled patients were collected and analyzed. The association between clinical characteristics and abnormal chest CT was also analyzed.Results: A total of 148 cases were enrolled in this study. Abnormalities on chest CT were detected in 61/148 (41.2%) patients. The most common abnormal CT features were as follows: patchy consolidation 22/61(36.1%), ground-glass opacities 21/61(34.4%), multifocal consolidations 17/61(27.9%). The advanced age and underlying diseases were significantly associated with abnormal chest CT.Conclusions: Abnormal chest CT is a common condition in Influenza-Like Illness cases. The presence of advanced age and concurrent underlying diseases is significantly associated with abnormal chest CT findings in patients with ILI symptoms. The chest CT characteristic of ILI is different from the manifestation of COVID-19 infection, which is helpful for differential diagnosis.

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Section: Discussionmentioning

confidence: 99%