Evidence map›Paper›PMID 35463878›Full record

ArticleFrontiers in pediatrics2022

Persistent Pulmonary Interstitial Emphysema With Respiratory Infection: A Clinicopathological Analysis of Six Cases and Detection of Infectious Pathogens by Metagenomic Next-Generation Sequencing (mNGS).

Ping Zhou, Weiya Wang, Yiyun Fu, Ying Zhang, Zuoyu Liang, Yuan Tang, Lili Jiang

Open access · goldAbstract read
In one paragraph

Article in Frontiers in pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact, top 92% of its field
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Ping ZhouDepartment of Pathology, West China Hospital, Sichuan University, Chengdu, China.
Weiya WangDepartment of Pathology, West China Hospital, Sichuan University, Chengdu, China.
Yiyun FuDepartment of Pathology, West China Hospital, Sichuan University, Chengdu, China.
Ying ZhangDepartment of Pathology, West China Hospital, Sichuan University, Chengdu, China.
Zuoyu LiangDepartment of Pathology, West China Hospital, Sichuan University, Chengdu, China.
Yuan TangDepartment of Pathology, West China Hospital, Sichuan University, Chengdu, China.
Lili JiangDepartment of Pathology, West China Hospital, Sichuan University, Chengdu, China.
West China Hospital of Sichuan University · CNSichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Persistent pulmonary interstitial emphysema (PPIE) is known to be related to mechanical ventilation and preterm. However, PPIE is also reported rarely in non-ventilated and full-term infants. Its relationship with respiratory infection is rarely reported in the literature. PPIE is difficult to diagnose and always mimics other congenital thoracic malformations (CTMs), such as congenital cystic adenomatoid malformation (CCAM). Objective: The objective of this study was to evaluate clinicopathological and radiographic features of PPIE with respiratory infection and to detect the possible infectious pathogens. Methods: From January 2011 to December 2019, six cases were confirmed pathologically with PPIE from a large cohort of 477 resected CTMs in West China Hospital of Sichuan University. Clinical and radiographic features were obtained from patients' medical records and follow-up. The present study aimed to analyze clinicopathological and radiographic features and to detect the infectious pathogens by metagenomic next-generation sequencing (mNGS). Results: The six PPIE cases included four girls and two boys, ranging from 2 months to 5 years; 100% (5/5) of the available cases were full-term and without mechanical ventilation. CCAM were suspected in 66.7% (4/6) patients; 66.7% (4/6) cases affected a single lobe, and 33.3% (2/6) cases affected both lung lobes. Clinically, all six PPIEs were presented with symptoms of respiratory infection and diagnosed with pneumonia. All six patients were treated by surgery after anti-infective treatment. The pathologic characteristics showed lung cysts with variable size along the bronchovascular bundles, the cysts had a discontinuous fibrotic wall with a smooth inner surface lined with uninucleated and/or multinucleated macrophages. Conclusion: Six rare cases of PPIE with respiratory infection were treated by surgery after anti-infective treatment. All five available cases were full-term infants without mechanical ventilation. The histological characteristics of PPIE were the wall of cysts composed of a thin layer of discontinuous fibrous tissue and lined with uninucleated or/and multinucleated macrophages.

Indexed as

congenital thoracic malformationsinfantsmetagenomic next-generation sequencingpulmonary interstitial emphysemarespiratory infection

Identifiers

PMID35463878
PMCPMC9022172
OpenAlexW4226027625

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