ID | 47087 |
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Title Alternative | Acute respiratory distress syndrome following infection of influenza A (H1N1) virus
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Author |
Taniguchi, Akihiko
Nakahara, Atsushi
Takata, Saburo
Sakugawa, Ryo
Nagano, Osamu
Kaken ID
Tanimoto, Yasushi
Kaken ID
researchmap
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Abstract | A 28-year-old man with a history of mental retardation was admitted to our hospital because of dyspnea, cough and high fever. His SpO(2) level at room-environmental conditions was in the eighties, and his chest radiograph showed diffuse infiltrates in both lungs. He was diagnosed as suffering from influenza A by a rapid influenza virus antigen test. The echocardiogram showed no evidence of left cardiac failure; therefore, his symptoms were consistent with acute respiratory distress syndrome (ARDS). Oseltamivir was started, and antibiotics were also given because of the possibility of secondary bacterial infection. Due to respiratory failure and low blood pressure, which suggested septic shock, intensive treatments including mechanical ventilation were performed. Corticosteroid therapy was started for ARDS and sepsis, and these therapies improved his respiratory condition. Polymerase chain reaction of his pharyngeal swab revealed that he had influenza A (H1N1). This is the first case of ARDS following infection by influenza A (H1N1) virus in Japan.
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Keywords | インフルエンザ A (influenza A)
H1N1
急性呼吸促迫症候群 (acute respiratory distress syndrome)
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Note | 症例報告 (Case Report)
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Published Date | 2011-12-01
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Publication Title |
岡山医学会雑誌
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Publication Title Alternative | Journal of Okayama Medical Association
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Volume | volume123
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Issue | issue3
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Publisher | 岡山医学会
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Publisher Alternative | Okayama Medical Association
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Start Page | 221
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End Page | 225
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ISSN | 0030-1558
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NCID | AN00032489
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Content Type |
Journal Article
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Related Url | http://www.okayama-u.ac.jp/user/oma/
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language |
Japanese
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Copyright Holders | Copyright (c) 2011 岡山医学会
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File Version | publisher
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Refereed |
True
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DOI | |
Eprints Journal Name | joma
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