tetano
Editor, Senior Moderator
QJM. 2020 Feb 7. pii: hcaa021. doi: 10.1093/qjmed/hcaa021. [Epub ahead of print] [h=1]"Coinfection of H1N1 Influenza and Scrub Typhus: A Review".[/h]
Jhuria L[SUP]1[/SUP], Muthu V[SUP]2[/SUP], Gupta S[SUP]1[/SUP], Singh MP[SUP]3[/SUP], Biswal M[SUP]3[/SUP], Goyal K[SUP]3[/SUP], Pannu AK[SUP]1[/SUP], Kumari S[SUP]1[/SUP], Bhalla A[SUP]1[/SUP], Suri V[SUP]1[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] The pandemic (H1N1) influenza outbreak in the year 2009 coincided with typical scrub typhus season in north India. This led to diagnostic difficulties due to their similar and non-specific symptoms. We describe 3 patients with confirmed co-infection of pandemic (H1N1) influenza and scrub typhus who had presented with acute respiratory distress syndrome. A systematic review of database yielded one case of scrub typhus and H1N1 influenza co-infection reported from South Korea. Coinfection of influenza with tropical infections may not be uncommon in endemic countries and hence a high index of suspicion on the part of physicians coupled with appropriate investigations are needed. The true burden of coinfections needs to be evaluated during outbreaks of influenza in a systematic manner.
? The Author(s) 2020. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
PMID: 32031635 DOI: 10.1093/qjmed/hcaa021
Jhuria L[SUP]1[/SUP], Muthu V[SUP]2[/SUP], Gupta S[SUP]1[/SUP], Singh MP[SUP]3[/SUP], Biswal M[SUP]3[/SUP], Goyal K[SUP]3[/SUP], Pannu AK[SUP]1[/SUP], Kumari S[SUP]1[/SUP], Bhalla A[SUP]1[/SUP], Suri V[SUP]1[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] The pandemic (H1N1) influenza outbreak in the year 2009 coincided with typical scrub typhus season in north India. This led to diagnostic difficulties due to their similar and non-specific symptoms. We describe 3 patients with confirmed co-infection of pandemic (H1N1) influenza and scrub typhus who had presented with acute respiratory distress syndrome. A systematic review of database yielded one case of scrub typhus and H1N1 influenza co-infection reported from South Korea. Coinfection of influenza with tropical infections may not be uncommon in endemic countries and hence a high index of suspicion on the part of physicians coupled with appropriate investigations are needed. The true burden of coinfections needs to be evaluated during outbreaks of influenza in a systematic manner.
? The Author(s) 2020. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
PMID: 32031635 DOI: 10.1093/qjmed/hcaa021