Soonchunhyang Med Sci.  2016 Dec;22(2):124-128. 10.0000/sms.2016.22.2.124.

Two Cases of Seasonal Influenza Virus (H3N2) and Acute Respiratory Distress Syndrome

Affiliations
  • 1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Institute of Chest Diseases, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. CHUNGKS@yuhs.ac

Abstract

Compared with the 2009 pandemic influenza A (H1N1), the seasonal influenza A (H3N2) in 2011-2012 was self-limited and mild. However, some cases proceeded to acute respiratory distress syndrome (ARDS) due to underlying medical history. Here we report two cases with influenza A (H3N2) progressing to fatal ARDS. One case with several underlying medical conditions eventually died from multi-organ failure despite the application of extracorporeal membrane oxygenation. When patients are suspected to have influenza, it is imperative to investigate their medical histories and risk factors. If they have many co-morbidities or risk factors, clinicians should initiate aggressive management immediately regardless of the type of influenza infection.

Keyword

Respiratory distress syndrome, adult; H3N2; Seasonal influenza

MeSH Terms

Extracorporeal Membrane Oxygenation
Humans
Influenza, Human*
Orthomyxoviridae*
Pandemics
Respiratory Distress Syndrome, Adult*
Risk Factors
Seasons*
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