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Case Reports
. 2004 Jul;10(7):1321-4.
doi: 10.3201/eid1007.040415.

Atypical avian influenza (H5N1)

Anucha Apisarnthanarak  1 , Rungrueng Kitphati, Kanokporn Thongphubeth, Prisana Patoomanunt, Pimjai Anthanont, Wattana Auwanit, Pranee Thawatsupha, Malinee Chittaganpitch, Siriphan Saeng-Aroon, Sunthareeya Waicharoen, Piyaporn Apisarnthanarak, Gregory A Storch, Linda M Mundy, Victoria J Fraser
Affiliations
Case Reports

Atypical avian influenza (H5N1)

Anucha Apisarnthanarak et al. Emerg Infect Dis. 2004 Jul.

Abstract

We report the first case of avian influenza in a patient with fever and diarrhea but no respiratory symptoms. Avian influenza should be included in the differential diagnosis for patients with predominantly gastrointestinal symptoms, particularly if they have a history of exposure to poultry.

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Figures

Figure 1
Figure 1
A) Chest radiograph on hospital day 5 at referring hospital shows patchy infiltration at bilateral lower lung fields. B) Chest radiograph upon admission to our hospital (24 hours later) shows rapidly progressive pneumonia in both lung fields, compatible with adult respiratory distress syndrome.
Figure 2
Figure 2
A) reverse transcription–polymerase chain reaction (RT-PCR) specific for H5 gene band (358 bp) of avian influenza H5N1 that was recovered from our patient from nasopharyngeal aspirates by using H5-1/H5-2 primer. Lane A, molecular standard; lane B, H5 band isolated from our patient (358 bp); lane C, negative control; lane D, positive control. B) RT-PCR specific for H5 gene band (229 bp) of avian influenza (H5N1) that was recovered from our patient from nasopharyngeal aspiration by using H5-1456/H5-1685 primer. Lane A, molecular standard; lane B, positive control; lane C, H5 band isolated from our patient (229 bp).
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