| Diagnostic dilemmas in a pregnant woman with influenza A (H1N1) infection. | |
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MedLine Citation:
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PMID: 20093861 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Laura G Greer; Mina Abbassi-Ghanavati; Jeanne S Sheffield; Brian M Casey |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 115 ISSN: 1873-233X ISO Abbreviation: Obstet Gynecol Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-01-22 Completed Date: 2010-05-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 409-12 Citation Subset: AIM; IM |
Affiliation:
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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 |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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