DDX of complications of viral pneumonia

Approach to complications of viral pneumonia:

  • Bacterial suprainfection – uncommon but should be looked for in patients who do not respond to supportive care for viral pneumonia
  • Asthma – from respiratory syncytial virus as 25% of children with respiratory syncitial virus pneumonia develop reactive airway disease / asthma
  • Swyer James / unilateral hyperlucent lung – from adenovirus pneumonia
  • Bronchiolitis obliterans – from almost any viral pneumonia