Influenza infection and risk of acute pulmonary embolism

Wissen, Matthijs Van; Keller, Tymen; Ronkes, Brechje; Gerdes, Victor E. A.; Zaaijer, Hans L.; Gorp, Eric C. M. Van; Brandjes, Dees P. M.; Levi, Marcel; Büller, Harry R.

doi:10.1186/1477-9560-5-16

Cited by 42 publications

(41 citation statements)

References 17 publications

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“…Although it is time consuming, CFT was chosen to screen patients' samples for recent influenza. Indeed, CFT preferentially detects IgM and provides a particularly reliable means to detect recent viral infection [24][25][26][27]. This screening approach was then confirmed by strainspecific HIAs for cases related to influenza A virus.…”

Section: Discussionmentioning

confidence: 99%

Guillain‐Barré Syndrome and Influenza Virus Infection

et al. 2009

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Section: Discussionmentioning

confidence: 99%

Guillain‐Barré Syndrome and Influenza Virus Infection

et al. 2009

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“…Infection is another established risk factor for PE [9], and in certain cases, PE has been associated with influenza [10] or cytomegalovirus infection [11]. …”

Section: Introductionmentioning

confidence: 99%

Leukocytes and systemic inflammatory response syndrome as prognostic factors in pulmonary embolism patients

Lee

et al. 2013

BMC Pulm Med

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BackgroundHemodynamic status and cardiac function are important factors for predicting pulmonary embolism (PE) prognosis. Although inflammation is considered a risk factor for deep vein thrombosis, the prognostic significance of both systemic inflammatory response syndrome (SIRS) and leukocytosis has not been elucidated. This study evaluates PE prognostic factors, including SIRS and leukocytes.MethodsThis retrospective cohort study included 667 PE patients. Risk evaluation included SIRS and leukocytosis. A prediction model was developed based on independent predictors of 30-day mortality.ResultsFifty-seven patients (8.5%) died within 30 days of PE. Multivariate analysis showed that SIRS satisfying the WBC criteria (odds ratio [OR], 2.8; 95% confidence interval [CI], 1.5–5.4), altered mental status (OR, 4.0; 95% CI, 1.8–8.7), shock (OR, 2.6; 95% CI, 1.0-7.1), and right-to-left ventricle diameter ratio (OR, 1.7; 95% CI, 1.0-2.8) were associated with 30-day mortality. SIRS criteria, including body temperature (OR, 4.6; 95% CI, 1.4–14.8), heart rate (OR, 2.0; 95% CI, 1.1–3.6), respiratory rate (OR, 2.5; 95% CI, 1.4–4.6), and white blood cells (WBC) count (OR, 1.9; 95% CI, 1.2–3.5) predicted short-term mortality following PE. The area under the receiver operating characteristic curve for the prognostic model performance was 0.76 (95% CI, 0.66–0.85); pulmonary embolism severity index (PESI) and PESI + WBC count were 0.72 (95% CI, 0.68–0.75) and 0.76 (95% CI, 0.72–0.79, P < 0.001 versus PESI), respectively.ConclusionsLeukocytosis and SIRS are important factors in determining short-term outcomes in PE patients.

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“…Although vascular events were shown to increase in viral influenza infections in one study, another study reported an important connection between seasonal influenza infections and venous thromboembolism [7, 8]. …”

Section: Discussionmentioning

confidence: 99%

Infrarenal Aorta Thrombosis Associated with H1N1 Influenza A Virus Infection

Hüzmelí

Sağlam

Arıkan

et al. 2016

Case Reports in Infectious Diseases

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Influenza viruses are members of the Orthomyxoviridae family, of which influenza A, B, and C viruses constitute three separate genera. Arterial thrombosis associated with H1N1 influenza A virus infection has rarely been reported. A Turkish man aged 28 years was admitted to our emergency department with dyspnea, bilateral lower extremity insensitivity, and cold. He reported symptoms of fever, myalgia, and cough, which he had had for fifteen days before being admitted to our hospital. The patient was tested for pandemic influenza A (H1N1) virus using polymerase chain reaction (PCR) tests, which were positive. Abdominal computerized tomography with contrast revealed a large occlusive thrombus within the infrarenal aorta.

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Influenza infection and risk of acute pulmonary embolism

Abstract: In this clinical study, influenza infection was not associated with an increased risk of acute pulmonary embolism. The ILI score is non-specific in this clinical setting.

Cited by 42 publications

References 17 publications

Guillain‐Barré Syndrome and Influenza Virus Infection

Guillain‐Barré Syndrome and Influenza Virus Infection

Leukocytes and systemic inflammatory response syndrome as prognostic factors in pulmonary embolism patients

Infrarenal Aorta Thrombosis Associated with H1N1 Influenza A Virus Infection

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