Volume 35, Issue 2 p. 207-209

The first case of H5N1 avian influenza infection in a human with complications of adult respiratory distress syndrome and Reye’s syndrome

ASW Ku,

Department of Paediatrics, Queen Elizabeth Hospital, Hong Kong

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LTW Chan,

Department of Paediatrics, Queen Elizabeth Hospital, Hong Kong

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First published: 14 December 2002
Citations: 33
Dr LTW Chan Department of Paediatrics, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong, China. Fax no. (852)23845204; e-mail: louisamy@netvigator.com

Abstract

Abstract: Avian influenza virus was not known to cause systemic infection in humans before. We report a 3-year-old boy with good past health who developed pneumonia caused by H5N1 avian influenza A virus (A/Hong Kong/156/97). The virus was isolated from a tracheal aspirate. There were complications of Reye’s syndrome, adult respiratory distress syndrome, and multiple organ system failure. He had a history of receiving aspirin. His adult respiratory distress syndrome did not respond to endotracheal surfactant replacement therapy. He died 6 days after admission. Clinicians should be alert to the importance of a new human influenza strain.

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