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

Mi Yean Yang; Jung Hwan Park; Yunnah Lee; Jae Hee Lim; Eun Jung Lee; Min Hyok Jeon; Tae Hyong Kim; Eun Ju Choo

doi:10.3947/ic.2010.42.2.132

Journal List > Infect Chemother > v.42(2) > 1034997

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Yang, Park, Lee, Lim, Lee, Jeon, Kim, and Choo: A Fetal Case of Pandemic Influenza (H1N1 2009) by the Aggravated Heart Faiure

Case Report

Infection & Chemotherapy

Infection & Chemotherapy 2010; 42(2): 132-135.

Published online: 30 April 2010

DOI: https://doi.org/10.3947/ic.2010.42.2.132

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

Mi Yean Yang, Jung Hwan Park, Yunnah Lee, Jae Hee Lim, Eun Jung Lee, Min Hyok Jeon, Tae Hyong Kim, Eun Ju Choo

Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Korea.

Corresponding author: Eun Ju Choo, M.D. Department of Internal Medicine, Soonchunhyang University College of Medicine, Jung-dong, Wonmi-gu, Bucheon 420-767, Korea. Tel: +82-32-621-5114, Fax: +82-32-621-5018, mdchoo@schbc.ac.kr

Received 9 April 2010 Accepted 22 April 2010

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Pandemic influenza (H1N1 2009), Heart failure

Figures and Tables

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.

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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