Document Detail


Diagnostic dilemmas in a pregnant woman with influenza A (H1N1) infection.
MedLine Citation:
PMID:  20093861     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Pregnant women are at increased risk for complications from seasonal influenza. Early data suggest that influenza A (H1N1) may present an even greater risk. CASE: We present the case of a pregnant woman with severe pulmonary complications from 2009 H1N1 whose care was further complicated by delay in diagnosis and unusual laboratory abnormalities. CONCLUSION: H1N1 may pose several diagnostic challenges for obstetricians, including increased rates of serious pulmonary complications, decreased sensitivity of rapid tests with delay in initiation of antiviral therapy, and abnormal laboratory findings usually associated with other complications of pregnancy. We document these problems, urge initiation of antiviral therapy based on clinical suspicion, and recognize the potential laboratory abnormalities that may be associated with severe influenza illness.
Authors:
Laura G Greer; Mina Abbassi-Ghanavati; Jeanne S Sheffield; Brian M Casey
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  115     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-22     Completed Date:  2010-05-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  409-12     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Parkland Health and Hospital System, Dallas, Texas 75390-9032, USA. laura.greer@utsouthwestern.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Chorioamnionitis / diagnosis,  virology*
Female
Fetal Growth Retardation / virology
Fluorescent Antibody Technique, Direct
Humans
Immunoassay
Influenza A Virus, H1N1 Subtype / isolation & purification*
Influenza, Human / diagnosis*
Pregnancy
Pregnancy Complications, Infectious / diagnosis*,  virology
Pregnancy Trimester, Second
Respiration, Artificial
Virus Cultivation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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