Influenza A/H1/N1/09 infection in patients with cirrhosis has a poor outcome: A case series

被引：9

作者：

Bal C.K. ^{[1
]}

Bhatia V. ^{[1
]}

Kumar S. ^{[2
]}

Saini D. ^{[3
]}

Khillan V. ^{[4
]}

Gupta E. ^{[5
]}

Rathor N. ^{[4
]}

Choudhury A. ^{[1
]}

Kumar N. ^{[1
]}

Daman R. ^{[1
]}

Sarin S.K. ^{[1
]}

机构：

[1] Department of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, 110 070, D-1, Vasant Kunj

[2] Department of Pulmonology, Institute of Liver and Biliary Sciences, New Delhi, 110 070, D-1, Vasant Kunj

[3] Department of Critical Care Medicine, Institute of Liver and Biliary Sciences, New Delhi, 110 070, D-1, Vasant Kunj

[4] Department of Microbiology, Institute of Liver and Biliary Sciences, New Delhi, 110 070, D-1, Vasant Kunj

[5] Department of Virology, Institute of Liver and Biliary Sciences, New Delhi, 110 070, D-1, Vasant Kunj

来源：

Indian Journal of Gastroenterology | 2014年 / 33卷 / 2期

关键词：

H1N1; subtype; Influenza A virus; Liver; Swine flu;

D O I：

10.1007/s12664-014-0443-5

中图分类号：

学科分类号：

摘要：

Seasonal influenza is often unsuspected in cirrhotic patients admitted with pneumonia and acute hepatic decompensation. We report five consecutive patients with influenza A subtype H1N1 2009 strain (influenza A/H1N1/09) admitted to our intensive care unit. All had a short history of rapidly worsening respiratory symptoms, but there were no characteristic clinical or radiographic features. Secondary pulmonary infection was universal. All five patients died, despite prompt institution of oseltamivir and intensive supportive care. A high index of suspicion is needed for influenza infection among patients with decompensated cirrhosis. © 2014 Indian Society of Gastroenterology.

引用

页码：178 / 182

页数：4

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