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Respiratory complications of acute infection include primary influenza pneumonitis, secondary bacterial pneumonia, croup, and exacerbation of chronic obstructive pulmonary disease.
Pneumonitis can be severe and is more common in pregnant women.
Rash involving multi- ple dermatomes or crossing the midline may represent disseminated dis- ease, which can occur in immunocompromised patients when the virus spreads to visceral organs to cause pneumonitis, hepatitis, or encephalitis.
Obtain a chest radiograph if pneumonitis is suspected.
Noninfec- tious causes of pulmonary complaints such as neoplasms and lymphocytic interstitial pneumonitis may also occur.
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