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Abstract

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Article in Japanese

Case Report

Diffuse acute infectious bronchiolitis with human metapneumovirus: a case report

Kenji Takanoa  Takashi Ishiguroa  Ryota Ozawaa  Yasuhito Kobayashib  Yoshihiko Shimizub  Noboru Takayanagia 

aDepartment of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center
bDepartment of Pathological Diagnosis, Saitama Cardiovascular and Respiratory Center

ABSTRACT

A 42-year-old woman presented to a local physician with fever and dry cough and was treated with antibiotics. Four days later, she was referred to our hospital because of dyspnea on exertion and was subsequently admitted. Bilateral diffuse centrilobular nodules were found on chest computed tomography images. According to the clinical course, radiological images and her inflammatory reaction, she was diagnosed as having diffuse acute infectious bronchiolitis. She was treated with an antibacterial drug and general care. Human metapneumovirus (hMPV) was then detected by multiplex polymerase chain reaction (PCR) using nasopharyngeal samples. As no other significant microorganisms were detected, she was finally diagnosed as having primary human metapneumovirus bronchiolitis.

KEYWORDS

Human metapneumovirus (hMPV)  Diffuse acute infectious bronchiolitis (DAIB)  Causative bacteria  Pneumonia 

Received 16 Jun 2019 / Accepted 3 Sep 2019

AJRS, 8(6): 401-404, 2019

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