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Case Reports
. 2011 Dec 29:11:358.
doi: 10.1186/1471-2334-11-358.

Influenza A/H1N1 septic shock in a patient with systemic lupus erythematosus. A case report

Konstantinos Tselios  1 , Ritsa Tsioka, Alexandros Sarantopoulos, Eleni Mouloudi, Panagiota Boura
Affiliations
Case Reports

Influenza A/H1N1 septic shock in a patient with systemic lupus erythematosus. A case report

Konstantinos Tselios et al. BMC Infect Dis. .

Abstract

Background: Immunocompromised patients, such as systemic lupus erythematosus (SLE) sufferers have an increased risk of mortality, following influenza infection. In the recent pandemic, influenza A H1NI virus caused 18449 deaths, mainly because of adult respiratory distress syndrome or bacterial co-infections.

Case presentation: In this case report, an SLE patient with viral-induced septic shock, without overt pulmonary involvement, is discussed. The patient was administered oseltamivir and supportive treatment, including wide-spectrum antibiotics, vasopressors and steroids, according to the guidelines proposed for bacterial sepsis and septic shock. She finally survived and experienced a lupus flare soon after intensive care unit (ICU) discharge.

Conclusions: To our knowledge, this is the first case to report severe septic shock from influenza A/H1N1 virus, without overt pulmonary involvement.

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Figures

Figure 1
Figure 1
Computed tomography of the thorax. Thorax CT was normal on admission to the ICU, indicating the absence of overt pulmonary involvement.
See this image and copyright information in PMC

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