Influenza A/H1N1 Severe Pneumonia: Novel Morphocytological Findings in Bronchoalveolar Lavage

We present the results of bronchoalveolar lavage (BAL) performed in three patients with severe influenza A/H1N1 pneumonia complicated by acute respiratory distress syndrome (ARDS). Light microscopy analysis of BAL cytocentrifugates showed the presence of characteristic large, mononuclear, plasmoblas...

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Main Authors: Paola Faverio, Stefano Aliberti, Clinton Ezekiel, Grazia Messinesi, Ambrogio Brenna, Alberto Pesci
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Interdisciplinary Perspectives on Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2014/470825
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author Paola Faverio
Stefano Aliberti
Clinton Ezekiel
Grazia Messinesi
Ambrogio Brenna
Alberto Pesci
author_facet Paola Faverio
Stefano Aliberti
Clinton Ezekiel
Grazia Messinesi
Ambrogio Brenna
Alberto Pesci
author_sort Paola Faverio
collection DOAJ
description We present the results of bronchoalveolar lavage (BAL) performed in three patients with severe influenza A/H1N1 pneumonia complicated by acute respiratory distress syndrome (ARDS). Light microscopy analysis of BAL cytocentrifugates showed the presence of characteristic large, mononuclear, plasmoblastic/plasmocytoid-like cells never described before. Via transmission electron microscopy, these cells were classified as atypical type II pneumocytes and some of them showed cytoplasmic vesicles and inclusions. We concluded that plasmoblastic/plasmocytoid-like type II pneumocytes might represent a morphologic marker of A/H1N1 influenza virus infection as well as reparative cellular activation after diffuse alveolar damage.
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language English
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series Interdisciplinary Perspectives on Infectious Diseases
spelling doaj-art-735aaecc33a34226818515baa3994d192025-02-03T01:20:25ZengWileyInterdisciplinary Perspectives on Infectious Diseases1687-708X1687-70982014-01-01201410.1155/2014/470825470825Influenza A/H1N1 Severe Pneumonia: Novel Morphocytological Findings in Bronchoalveolar LavagePaola Faverio0Stefano Aliberti1Clinton Ezekiel2Grazia Messinesi3Ambrogio Brenna4Alberto Pesci5Department of Health Science, University of Milan Bicocca, Clinica Pneumologica, AO San Gerardo, Via Pergolesi 33, 20900 Monza, ItalyDepartment of Health Science, University of Milan Bicocca, Clinica Pneumologica, AO San Gerardo, Via Pergolesi 33, 20900 Monza, ItalyUniversity of Texas Health Science Center at San Antonio, 8300 Floyd Curl Drive, San Antonio, TX 78229, USADepartment of Health Science, University of Milan Bicocca, Clinica Pneumologica, AO San Gerardo, Via Pergolesi 33, 20900 Monza, ItalyAnatomia Patologica, AO San Gerardo, Via Pergolesi 33, 20900 Monza, ItalyDepartment of Health Science, University of Milan Bicocca, Clinica Pneumologica, AO San Gerardo, Via Pergolesi 33, 20900 Monza, ItalyWe present the results of bronchoalveolar lavage (BAL) performed in three patients with severe influenza A/H1N1 pneumonia complicated by acute respiratory distress syndrome (ARDS). Light microscopy analysis of BAL cytocentrifugates showed the presence of characteristic large, mononuclear, plasmoblastic/plasmocytoid-like cells never described before. Via transmission electron microscopy, these cells were classified as atypical type II pneumocytes and some of them showed cytoplasmic vesicles and inclusions. We concluded that plasmoblastic/plasmocytoid-like type II pneumocytes might represent a morphologic marker of A/H1N1 influenza virus infection as well as reparative cellular activation after diffuse alveolar damage.http://dx.doi.org/10.1155/2014/470825
spellingShingle Paola Faverio
Stefano Aliberti
Clinton Ezekiel
Grazia Messinesi
Ambrogio Brenna
Alberto Pesci
Influenza A/H1N1 Severe Pneumonia: Novel Morphocytological Findings in Bronchoalveolar Lavage
Interdisciplinary Perspectives on Infectious Diseases
title Influenza A/H1N1 Severe Pneumonia: Novel Morphocytological Findings in Bronchoalveolar Lavage
title_full Influenza A/H1N1 Severe Pneumonia: Novel Morphocytological Findings in Bronchoalveolar Lavage
title_fullStr Influenza A/H1N1 Severe Pneumonia: Novel Morphocytological Findings in Bronchoalveolar Lavage
title_full_unstemmed Influenza A/H1N1 Severe Pneumonia: Novel Morphocytological Findings in Bronchoalveolar Lavage
title_short Influenza A/H1N1 Severe Pneumonia: Novel Morphocytological Findings in Bronchoalveolar Lavage
title_sort influenza a h1n1 severe pneumonia novel morphocytological findings in bronchoalveolar lavage
url http://dx.doi.org/10.1155/2014/470825
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