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viral pneumonia

Sunday 29 March 2020

WKP

Definition : Viral pneumonia is a pneumonia caused by a virus.

Viruses are one of the two major causes of pneumonia, the other being bacteria; less common causes are fungi and parasites. Viruses are the most common cause of pneumonia in children, while in adults bacteria are a more common cause.

Examples

 influenza pneumonia and parainfluenza pneumonia
 adenovirus pneumonia
 chickenpox pneumonia
 herpes zoster pneumonia
 measles pneumonia
- rubella pneumonia
 coronavirus pneumonia and coronavirus disease (COVID)

  • SARS coronavirus pneumonia
  • MERS coronavirus pneumonia
  • COVID-19 coronavirus pneumonia

 hantavirus pneumonia

Macroscopy

 respiratory mucosal hyperemia
 pleural effusion
 pulmonary swelling
 variegated pulmonary pleura and serosa
 focal hemorrhage and edema of the cut surface of the lung
 enlarged mesenteric lymph nodes

Microscopy

 pulmonary alveoli edema
 pulmonary interstitial edema
 pulmonary hemorrhage
 alveolar epithelial shedding
 serous exudation (or) fibrinous exudation in the alveoli
 formation of viral inclusions
 formation of transparent membranes
 infiltration of inflammatory cells that mainly consisted of macrophages and lymphocytes in interstitial substance and alveoli.

Viral pulmonary infections often affected the heart and gastrointestinal tract.

Open references

 Retrospective Analysis of 61 Cases of Children Died of Viral Pneumonia. Chen XB, Du SH, Lu JC, Tan XH, Li DR, Yue X, Wang Q, Wang HJ, Qiao DF. Fa Yi Xue Za Zhi. 2020 Mar 25;36(2). doi : 10.12116/j.issn.1004-5619.2020.02.002 PMID: 32212512 Free