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

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

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Animals
  • Anti-Bacterial Agents / therapeutic use
  • Bacterial Infections / complications
  • Bacterial Infections / drug therapy
  • Extracorporeal Membrane Oxygenation*
  • Humans
  • Immunocompetence*
  • Influenza A Virus, H1N1 Subtype / genetics*
  • Influenza A Virus, H1N1 Subtype / isolation & purification
  • Influenza, Human / complications*
  • Influenza, Human / virology
  • Male
  • Molecular Sequence Data
  • Respiratory Distress Syndrome / etiology*
  • Respiratory Distress Syndrome / therapy*
  • Sequence Analysis, DNA
  • Sus scrofa
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents