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Influenza pneumonia — SCE Respiratory MCQ

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ModerateRespiratory InfectionsInfluenza pneumoniaSCE Respiratory

A 58-year-old man receiving chemotherapy presents within 24 hours of fever, myalgia and dry cough during a community influenza outbreak. PCR from a nasopharyngeal swab is positive for influenza A and chest radiograph shows early bilateral infiltrates. What is the most appropriate management?

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Correct answer: D — Start antiviral treatment and assess for bacterial co-infection

Influenza in an immunocompromised patient warrants prompt antiviral treatment and assessment for secondary bacterial pneumonia. Early presentation strengthens, rather than weakens, the case for antivirals. TB therapy and sleep testing are unrelated to confirmed acute influenza pneumonia.

Reference: NICE Influenza Guidance; UKHSA Influenza Guidance; BNF Oseltamivir: https://www.nice.org.uk/guidance/ng245/chapter/recommendations