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giant cell pneumonia

Wednesday 15 December 2010

Digital cases

- Case 78 (HPC:78) : Coronavirus giant cell pneumonia

Definition: Giant cell pneumonia is a distinctive and uncommon lesional pattern characterized by interstitial pneumonia and presence of numerous alveolar multinucleated gaint cells.

Syndromal pattern

- giant cell interstitial pneumonia

  • Warthin-Finkedley cells

Etiology

- viral pneumonia

- giant cell interstitial pneumonia

  • idiopathic
  • occupational exposure to hard metals or cobalt
  • Langerhans cell histiocytosis (Letterer-Siwe disease) (3618221)

References

- Giant cell interstitial pneumonia. Daroca PJ Jr, George WJ. South Med J. 1991 Feb;84(2):257-63. PMID: 1990465

- Lung involvement in childhood measles: severe immune dysfunction revealed by quantitative immunohistochemistry. Moussallem TM, Guedes F, Fernandes ER, Pagliari C, Lancellotti CL, de Andrade HF Jr, Duarte MI. Hum Pathol. 2007 Aug;38(8):1239-47. PMID: 17499339

- Sudden death in childhood due to varicella pneumonia: a forensic case report with clinical implications. Pfeiffer H, Varchmin-Schultheiss K, Brinkmann B. Int J Legal Med. 2006 Jan;120(1):33-5. PMID: 16160838

- Evolution of pulmonary pathology in severe acute respiratory syndrome. Hsiao CH, Wu MZ, Chen CL, Hsueh PR, Hsieh SW, Yang PC, Su IJ. J Formos Med Assoc. 2005 Feb;104(2):75-81. PMID: 15765160

- The spectrum of pathological changes in severe acute respiratory syndrome (SARS). Cheung OY, Chan JW, Ng CK, Koo CK. Histopathology. 2004 Aug;45(2):119-24. PMID: 15279629

- Lung pathology of fatal severe acute respiratory syndrome. Nicholls JM, Poon LL, Lee KC, Ng WF, Lai ST, Leung CY, Chu CM, Hui PK, Mak KL, Lim W, Yan KW, Chan KH, Tsang NC, Guan Y, Yuen KY, Peiris JS. Lancet. 2003 May 24;361(9371):1773-8. PMID: 12781536

- Human parainfluenza virus giant cell pneumonia following cord blood transplant associated with pulmonary alveolar proteinosis. Butnor KJ, Sporn TA. Arch Pathol Lab Med. 2003 Feb;127(2):235-8. PMID: 12562244

- Unusual presentation of measles giant cell pneumonia in a patient with acquired immunodeficiency syndrome. Okamura A, Itakura O, Yoshioka M, Kubota M, Kikuta H, Kobayashi K. Clin Infect Dis. 2001 Feb 1;32(3):E57-8. PMID: 11170972

- Familial cases of severe measles pneumonia. Ito I, Ishida T, Hashimoto T, Arita M, Osawa M, Tsukayama C. Intern Med. 2000 Aug;39(8):670-4. PMID: 10939545

- Cytologic diagnosis of measles pneumonia in a bronchoalveolar lavage specimen. A case report. Harboldt SL, Dugan JM, Tronic BS. Acta Cytol. 1994 May-Jun;38(3):403-6. PMID: 8191831

- Parainfluenza virus pneumonitis in an adult. Akizuki S, Nasu N, Setoguchi M, Yoshida S, Higuchi Y, Yamamoto S. Arch Pathol Lab Med. 1991 Aug;115(8):824-6. PMID: 1650545

- Measles giant cell pneumonia in a child with human immunodeficiency virus infection. Nadel S, McGann K, Hodinka RL, Rutstein R, Chatten J. Pediatr Infect Dis J. 1991 Jul;10(7):542-4. PMID: 1876472

- Congenital mumps pneumonia: a rare cause of neonatal respiratory distress. Groenendaal F, Rothbarth PH, van den Anker JN, Spritzer R. Acta Paediatr Scand. 1990 Dec;79(12):1252-4. PMID: 2085116

- Giant cell pneumonia caused by varicella zoster virus in a neonate. Saito F, Yutani C, Imakita M, Ishibashi-Ueda H, Kanzaki T, Chiba Y. Arch Pathol Lab Med. 1989 Feb;113(2):201-3. PMID: 2537070

- Measles pneumonia in a newborn. Drut R, Drut RM. Pediatr Pathol. 1988;8(5):553-7. PMID: 3227007

- Giant cell pneumonia caused by parainfluenza type 3 in a patient with acute myelomonocytic leukemia. Weintrub PS, Sullender WM, Lombard C, Link MP, Arvin A. Arch Pathol Lab Med. 1987 Jun;111(6):569-70. PMID: 3034189

- Giant cell pneumonia in Letterer-Siwe disease. Shimizu T, Fukushima N, Ebihara Y, Sata T, Aoyama Y. Acta Pathol Jpn. 1987 Mar;37(3):493-501. PMID: 3618221

- Respiratory syncytial viral infection in children with compromised immune function.Hall CB, Powell KR, MacDonald NE, Gala CL, Menegus ME, Suffin SC, Cohen HJ. N Engl J Med. 1986 Jul 10;315(2):77-81. PMID: 3724802

- Giant cell pneumonia due to respiratory syncytial virus. Hemming VG, Fischer GW, Prince GA. Arch Pathol Lab Med. 1985 Mar;109(3):213. PMID: 3838449

- Giant cell pneumonia due to respiratory syncytial virus. Occurrence in severe combined immunodeficiency syndrome. Delage G, Brochu P, Robillard L, Jasmin G, Joncas JH, Lapointe N. Arch Pathol Lab Med. 1984 Aug;108(8):623-5. PMID: 6611144

- Giant cell pneumonia associated with parainfluenza virus type 3 infection. Little BW, Tihen WS, Dickerman JD, Craighead JE. Hum Pathol. 1981 May;12(5):478-81. PMID: 6265340

- Measles giant cell pneumonia in childhood leukemia in remission. Tokunaga O, Tanimura A, Morimatsu M, Nakashima T. Acta Pathol Jpn. 1980 May;30(3):483-7. PMID: 6930817