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Avian Influenza A (H5N1) in 10 Patients in Vietnam
Ist Teil von
The New England journal of medicine, 2004-03, Vol.350 (12), p.1179-1188
Ort / Verlag
Boston, MA: Massachusetts Medical Society
Erscheinungsjahr
2004
Quelle
MEDLINE
Beschreibungen/Notizen
This report describes the clinical details of 10 patients who were shown to have been infected with an H5N1 influenzavirus, which normally does not affect humans. The patients had direct contact with fowl a median of three days before they presented with fever, respiratory symptoms, and an acute influenza syndrome, characterized by lymphopenia and marked pulmonary infiltrates on chest radiography. Eight of the patients died, even though none had preexisting medical conditions.
This report describes the clinical details of 10 patients who were shown to have been infected with an H5N1 influenzavirus. Eight of the patients died.
Influenza A virus infects a variety of animals, including humans and birds.
1
Although the natural reservoir for all known subtypes of influenza A (hemagglutinins H1 through H15 and neuraminidases N1 through N9) is wild waterfowl, only three subtypes are currently circulating among humans (H1N1, H1N2, and H3N2). However, during the past few years, several subtypes of avian influenza A have been shown to cross the species barrier and infect humans. During an outbreak of a highly pathogenic influenza A (H5N1) virus among poultry in Hong Kong in 1997, 6 of 18 people with confirmed infection died.
2
After this outbreak, prevention . . .