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.
Thammasart University Hospital, Klong Luang, Pratumthani, Thailand. anapisarn@yahoo.com
Anucha
A
Apisarnthanarak
Rungrueng
R
Kitphati
Kanokporn
K
Thongphubeth
Prisana
P
Patoomanunt
Pimjai
P
Anthanont
Wattana
W
Auwanit
Pranee
P
Thawatsupha
Malinee
M
Chittaganpitch
Siriphan
S
Saeng-Aroon
Sunthareeya
S
Waicharoen
Piyaporn
P
Apisarnthanarak
Gregory A
GA
Storch
Linda M
LM
Mundy
Victoria J
VJ
Fraser
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