Comparison of clinical, serological, and radiological findings among
hospitalized A-H1N1, B-H1N1, and H3N2 influenza patients
Abstract
Background: Despite remarkable developments in medical science, viral
infections still remain serious threats to the global health system.
Methods: In this cross-sectional study, we retrospectively compared the
clinical, serological, and radiological findings in subjects with
confirmed A-H1N1, B- H1N1, or A-H3N2 virus infection. The investigation
included data on influenza patients who were admitted to the Al-Zahra
Hospital, Isfahan, Iran, from September 2017 to February 2018. Results
and Conclusions: Based on statistical analysis, fever was present as the
most common clinical manifestation in patients with the three subtypes
of influenza. Notably, the fever temperature was much higher among
A-H3N2 subjects than A-H1N1 and B-H1N1 subjects (P<0.05). The
A-H3N2 patients also had significantly higher C-reactive protein (CRP)
levels than the other two groups of influenza patients
(P<0.05). In the chest computed tomography scans, patchy
infiltration and middle lobe involvement were found more commonly among
A-H3N2 patients (P=0.012 and P=0.021, respectively) than patients of the
other two influenza subtypes. Our clinical observations, serological
examinations, and radiological findings are likely to be beneficial in
managing patients with influenza and determining the need for further
interventions.