Infect Chemother.  2010 Apr;42(2):132-135.

A Fetal Case of Pandemic Influenza (H1N1 2009) by the Aggravated Heart Faiure

• Yang MY
• Park JH
• Lee Y
• Lim JH
• Lee EJ
• Jeon MH
• Kim TH
• Choo EJ

Abstract

On April, 2009, pandemic influenza (H1N1 2009) emerged in the United States at first. Clinical outcomes of this infection are reported as ranging from self-limited illness to respiratory failure or death. There were more than 250 deaths due to pandemic influenza until March 2010. Influenza-related deaths occurred in the elderly and in patients with underlying medical conditions. Most of the critically ill patients showed severe hypoxia and acute respiratory distress syndrome and required ventilator care. We experienced a 70-year-old man presenting with pandemic influenza (H1N1 2009) with heart failure. He was treated with antival agents, ventalator and extracorporeal membrane oxygenation. But his heart function was aggravared and resulted in his death.

Keyword

Pandemic influenza (H1N1 2009); Heart failure

MeSH Terms

Aged
Anoxia
Critical Illness
Extracorporeal Membrane Oxygenation
Heart
Heart Failure
Humans
Influenza, Human
Pandemics
Respiratory Distress Syndrome, Adult
Respiratory Insufficiency
United States
Ventilators, Mechanical

Figure

• 

  Figure 1 Chest radiograph of patient (A) At admission: Chest radiograph shows cardiomegaly and prominent vascular markings. Chest radiography suggestive pulmonary edema. (B) Four days after admission: Chest radiograph shows aggravated vascular congestion in the both lungs.

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  Figure 2 Chest CT scan shows multifocal patchy ground glass opacity in the both lungs and bilateral pleural effusion, which suggests multifocal bronchopneumonia.

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