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A Fatal Case Induced by the 2009 Pandemic Influenza A/H1N1 Viral Infection Youichi Yanagawa 1 1Department of Traumatology and Critical Care Medicine, National Defense Medical College(NDMC) Hospital Keyword: 新型インフルエンザ , 劇症型心筋炎 , 2009 pandemic influenza , fluminant myocarditis pp.427-429
Published Date 2011/4/15
DOI https://doi.org/10.11477/mf.1404101684
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 In 2009, in a place where the 2009 pandemic influenza A was prevalent, a thirteen-year-old healthy female with headache and fever received the diagnosis of influenza A at a nearby medical facility after a rapid antigen test. Her medical condition deteriorated and she died on the 4th day. Autopsy was not carried out. As she complained of chest pain during the clinical course and a biochemical analysis of blood on arrival demonstrated an increase of creatine kinase MB, we diagnosed her as a case of fluminant myocarditis. However, her chest roentgen demonstrated bilateral cloudiness in the lung fields, so the possibility of acute respiratory distress syndrome due to alveolar damage or encephalopathy remained.


Copyright © 2011, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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