Pulmonary Hypertension in Children with Lower Respiratory Tract Infections in the Konya Province of Turkey

dc.contributor.authorDüzenli Kar Y.
dc.contributor.authorAkln F.
dc.contributor.authorSert A.
dc.contributor.authorArslan Ş.
dc.date.accessioned2020-03-26T20:20:55Z
dc.date.available2020-03-26T20:20:55Z
dc.date.issued2020
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjective Lower respiratory tract infections (LRTI) are one of the most important causes of morbidity and mortality in childhood. Hypoxemia, pulmonary hypertension (PH) due to pulmonary vasoconstriction, and heart failure due to various causes are the most important risk factors for mortality in LRTI. The aim of this study was to investigate characteristics of the patients with LRTI and the frequency of PH that developed secondary to LRTI. Materials and Methods The study included 70 patients who were diagnosed as having LRTI clinically and radiologically between January 2012 and March 2013 at Department of Pediatrics, Konya Training and Research Hospital. Age, sex, risk factors for LRTI, symptoms and physical examination findings, laboratory tests, and Doppler echocardiography findings of the patients were retrospectively reviewed. Results Of the patients, 44 (62.9%) were male and 26 (37.1%) were female. Thirty-seven (52.9%) patients were younger than 1 year, and the mean age was 2.5 ± 3.11 years. The most common symptoms of the patients were cough and fever. Rhonchus, retraction, and crackles were found to be the most common findings in physical examinations. Heart failure was found in 10% of patients and PH was detected in 8.6% through Doppler echocardiography. Development of heart failure and the presence of bilateral patch infiltration on posteroanterior chest X-rays were significantly more frequent in patients with PH. Some 42.9% of patients had at least one viral agent in their nasopharyngeal swabs. The most common viral agents were respiratory syncytial virus and rhinoviruses. Conclusion PH may develop during the course of LRTI in children. Given that the development of PH can cause life-threatening complications such as heart failure, affected patients should be kept under close follow-up. It should be remembered that PH is more likely to develop in patients with bilateral patch infiltration on chest X-ray. © 2020 by Georg Thieme Verlag KG, Stuttgart. New York.en_US
dc.identifier.doi10.1055/s-0039-3401984en_US
dc.identifier.endpage101en_US
dc.identifier.issn1305-7707en_US
dc.identifier.issue2en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage95en_US
dc.identifier.urihttps://dx.doi.org/10.1055/s-0039-3401984
dc.identifier.urihttps://hdl.handle.net/20.500.12395/38697
dc.identifier.volume15en_US
dc.identifier.wosWOS:000518695400006en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherGeorg Thieme Verlagen_US
dc.relation.ispartofJournal of Pediatric Infectious Diseasesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectchildrenen_US
dc.subjectlower respiratory tract infectionsen_US
dc.subjectpulmonary hypertensionen_US
dc.titlePulmonary Hypertension in Children with Lower Respiratory Tract Infections in the Konya Province of Turkeyen_US
dc.typeArticleen_US

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