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Case Reports
. 2017 Feb;22(5):30456.
doi: 10.2807/1560-7917.ES.2017.22.5.30456.

Swine influenza A (H1N1) virus (SIV) infection requiring extracorporeal life support in an immunocompetent adult patient with indirect exposure to pigs, Italy, October 2016

Francesca Rovida  1   2 , Antonio Piralla  1   2 , Federico Capra Marzani  3 , Ana Moreno  4 , Giulia Campanini  2 , Francesco Mojoli  5   3 , Marco Pozzi  3 , Alessia Girello  2 , Chiara Chiapponi  6 , Fausto Vezzoli  7 , Paola Prati  8 , Elena Percivalle  2 , Anna Pavan  9 , Maria Gramegna  10 , Giorgio Antonio Iotti  5   3 , Fausto Baldanti  11   2
Affiliations
Case Reports

Swine influenza A (H1N1) virus (SIV) infection requiring extracorporeal life support in an immunocompetent adult patient with indirect exposure to pigs, Italy, October 2016

Francesca Rovida et al. Euro Surveill. 2017 Feb.

Abstract

We describe a case of severe swine influenza A(H1N1) virus infection in an immunocompetent middle-aged man in October 2016 in Italy who had only indirect exposure to pigs. The patient developed a severe acute distress respiratory syndrome which was successfully supported by extracorporeal membrane oxygenation and treated with antiviral therapy. The sole risk factor for influenza was a body mass index > 30 kg/m2. After a month of hospitalisation, the patient was discharged in good health.

Keywords: extracorporeal membrane oxygenation; influenza virus; respiratory infection.

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Conflict of interest statement

Conflict of interest: None declared.

Figures

Figure 1
Figure 1
Chest X-ray and computed tomography in a patient with severe swine influenza A(H1N1), Italy, October 2016
Figure 2
Figure 2
Phylogenetic relationship of human and swine influenza A(H1N1) virus strains based on complete haemagglutinin and neuraminidase nucleotide sequences, compared with patient isolate, Italy, October 2016
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References

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