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Italy, first case of acute respiratory distress syndrome in a 24-years-old h1n1 2009 infected patient.

Giuseppe

Emeritus
ITALY, FIRST CASE OF ACUTE RESPIRATORY DISTRESS SYNDROME IN A 24-YEARS-OLD H1N1 2009 INFECTED PATIENT.


According a press statement by Italian Ministry of Health, a 24 years-old male patient is hospitalized in critical condition at an intensive care unit ward of Monza hospital; the patient received a diagnosis of laboratory confirmed influenza A (H1N1) 2009 virus infection.

The patient was initially hospitalized at Parma Hospital Infectious Diseases Department on August 22, after developing flu-like illness; a relative of the patient was earlier tested positive for H1N1 2009.

The admission diagnosis was pneumonia. The patient worsening conditions caused his hospitalization in a specialized unit at Monza Hospital on 24 August.

His condition continues to be critical.

The original press statement is presented below, in Italian. For more informations, follow the link to the original document.

(IOH)
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INFLUENZA AH1N1: COMUNICAZIONI DEL MINISTERO (Com. n. 370 del 29 agosto 2009, editato)

[Documento Originale: LINK. EDITATO.]

Comunicato stampa n. 370 29 agosto 2009

Ministero del Lavoro, della Salute e delle Politiche Sociali - UFFICIO STAMPA


INFLUENZA AH1N1: COMUNICAZIONI DEL MINISTERO


E? attualmente ricoverato presso l? Ospedale San Gerardo dei Tintori di Monza un paziente maschio di 24 anni affetto da Sindrome da Distress respiratorio dell?adulto.

Le indagini sierologiche hanno confermato un?infezione da virus AH1N1.

L?infezione da virus AH1N1 ? stata riscontrata anche in un familiare del paziente.

Il paziente, ricoverato il 22 agosto presso la Divisione di Malattie Infettive dell?ospedale di Parma con diagnosi di polmonite, in considerazione dell?aggravarsi delle condizioni cliniche, ? stato trasferito in data 25 agosto presso l?Unit? di Terapia Intensiva dell?Ospedale San Gerardo dei Tintori di Monza, specializzata nel trattamento della sindrome da Distress Respiratorio.

Le condizioni attuali del paziente sono gravi.

L?evoluzione in Sindrome da Distress respiratorio dell?adulto ? una delle rare complicazioni di numerose infezioni virali, ivi compresa l?infezione da virus AH1N1.

I casi confermati di influenza AH1N1 in Italia sono attualmente circa 1900, di cui circa il 10% secondari.

La letalit? della nuova influenza AH1N1, sulla base dei dati del Centro Europeo Controllo Malattie ( ECDC) di Stoccolma, nei paesi dell?Unione Europea e dell?area EFTA ? attualmente dello 0,21%. A livello globale, secondo i dati dell?Organizzazione Mondiale della Sanit?, la letalit? ? attualmente dello 0,98%.

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Re: Italy, first case of acute respiratory distress syndrome in a 24-years-old h1n1 2009 infected patient.

From Kataweb (La Repubblica). Adapted by IOH.

August 29, 2009, Monza.

A 24 years old male patient is hospitalized in critical conditions at Monza hospital ICU after developing a severe pneumonia. He was confirmed as infected by H1N1 2009 influenza virus.

The patient has been put under induced coma and his lungs are unable to provide enough oxygenation; he is under ECMO.

His conditions are defined by doctors as ''critical'' but stable with fever.

On August 24, the patient seemed to sightly improve, but the outcome remains uncertain.

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INFLUENZA ?A?: MEDICI, PAZIENTE MONZA ?IN STATO CRITICO? ? Kataweb NewsControl

29 agosto 2009 @ 15:35

INFLUENZA ?A?: MEDICI, PAZIENTE MONZA ?IN STATO CRITICO?

Ultim'ora cronaca


Il giovane in coma per una forma grave di Influenza "A", in terapia intensiva al San Gerardo di Monza, e' "in stato critico".

Cosi' i medici che lo hanno in cura dal 25 agosto definiscono le sue condizioni.

Il ragazzo, 24 anni, non e' in grado di respirare per la grave infezione che ha colpito i polmoni, ha la febbre alta ed e' sottoposto a ossigenazione extracorporea.

Per evitare ulteriori danni a un organismo gia' minato il paziente e' stato sottoposto a coma farmacologico indotto.

Al momento, riferiscono i medici, le sue condizioni sono gravissime ma stabili: dopo un lieve miglioramento nella notte di martedi', dopo il suo trasporto al San Gerardo, il 24enne si e' ora stabilizzato, e secondo fonti sanitarie non dovrebbero esserci ulteriori novita' cliniche oggi.

La prognosi, ovviamente, rimane riservata.
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<cite cite="http://news.kataweb.it/influenza-a-medici-paziente-monza-in-stato-critico-2-380522">INFLUENZA ?A?: MEDICI, PAZIENTE MONZA ?IN STATO CRITICO? ? Kataweb NewsControl</cite>
 
Re: Italy, first case of acute respiratory distress syndrome in a 24-years-old h1n1 2009 infected patient.

Update by IOH (based on files from La Stampa and tv footage).

August 30, 2009.

The 24 years-old patient hospitalized in ICU after fell ill with influenza A(H1N1) 2009 remains in critical but stable conditions, according a press briefing at Monza hospital.

He is under dialysis because of renal failure.

According deputy Minister of Health, prof F. Fazio, interviewed by TG1 prime-time television program yesterday Aug. 29, the boy was otherwise healthy and hasn't underlying health conditions before fell ill with H1N1 2009.

According to the daily newspaper ''la Stampa'', the boy developed flu-like symptoms on August 18, after a brief holiday in a sea resort at Riccione.

He subsequently seek care on Parma's ''Maggiore'' hospital and received a diagnosis of influenza-like syndrome; he was prescribed with antipiretics and other OTC medicaments and sent home; his X-ray examinations were negative for pneumonia.

A few days later, the boy returned to hospital with severe headache and high fever; doctors at this point suspected a meningitis case and decided to hospitalize him for appropriate care.

On August 24, after a deterioration of general conditions, the boy was transferred on Monza hospital and put under mechanical ventilation.

ECMO was subsequently required because on low blood oxygenation and lungs damages; he was sedated.

These notes have been excerpted from 'la Stampa' online article: http://www.lastampa.it/redazione/cmsSezioni/cronache/200908articoli/46791girata.asp

To date, no mention to antiviral therapy appeared on news by daily newspapers, television reports or Ministry of Health press release.

(IOH)
 
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