Atypical avian influenza (H5N1).
We report the first case of avian influenza in a patient with fever and diarrhea but no respiratory symptoms. Avian influenza should be included in the differential diagnosis for patients with predominantly gastrointestinal symptoms, particularly if they have a history of exposure to poultry.
Apisarnthanarak
Anucha
A
Thammasart University Hospital, Klong Luang, Pratumthani, Thailand. anapisarn@yahoo.com
Kitphati
Rungrueng
R
Thongphubeth
Kanokporn
K
Patoomanunt
Prisana
P
Anthanont
Pimjai
P
Auwanit
Wattana
W
Thawatsupha
Pranee
P
Chittaganpitch
Malinee
M
Saeng-Aroon
Siriphan
S
Waicharoen
Sunthareeya
S
Apisarnthanarak
Piyaporn
P
Storch
Gregory A
GA
Mundy
Linda M
LM
Fraser
Victoria J
VJ
D000328:Adult; D000818:Animals; D002645:Chickens / Q000821:virology; D017809:Fatal Outcome; D005260:Female; D005767:Gastrointestinal Diseases / Q000503:physiopathology* / Q000821:virology; D006282:Health Personnel; D006801:Humans; D053124:Influenza A Virus, H5N1 Subtype; D009980:Influenza A virus / Q000472:pathogenicity*; D005585:Influenza in Birds / Q000635:transmission / Q000821:virology; D007251:Influenza, Human / Q000503:physiopathology* / Q000821:virology; D011201:Poultry Diseases / Q000635:transmission / Q000821:virology