[Pneumonia and the acute respiratory distress syndrome due to influenza A (H1N1) virus].
The acute respiratory distress syndrome (ARDS) and acute lung injury (ALI) are part of a devastating syndrome characterized by acute onset, hypoxemia, and bilateral infiltrates on chest x-rays. ALI/ARDS is the response of the lung to a local or systemic aggression, resulting in local inflammation and coagulation disorders, which lead to increased inflammatory pulmonary edema. ARDS is a major cause of morbidity, death, and cost in intensive care units. The most common cause is sepsis. We present a case of ARDS secondary to infection with the influenza A (H1N1) virus. The influenza A (H1N1) virus caused a global pandemia 91 years ago, with sporadic outbreaks afterward. The new influenza A pandemia was transmitted from swine to humans. Infection by the influenza A (H1N1) virus can cause severe respiratory illness, the acute respiratory distress syndrome, and secondary infections among healthcare workers.
Centro de Críticos, Hospital de Sabadell, CIBER Enfermedades Respiratorias, Instituto Universitario Parc Tauli, Universidad Autónoma de Barcelona, España.
C de Haro
Cde H
López
R Ferrer
RF
Roca
J Vallés
JV
Daunis
D058186:Acute Kidney Injury / Q000209:etiology; D055371:Acute Lung Injury / Q000097:blood / Q000209:etiology* / Q000503:physiopathology; D000368:Aged; D000998:Antiviral Agents / Q000627:therapeutic use; D002289:Carcinoma, Non-Small-Cell Lung / Q000150:complications / Q000628:therapy; D003131:Combined Modality Therapy; D004211:Disseminated Intravascular Coagulation / Q000209:etiology; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype; D007251:Influenza, Human / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology / Q000821:virology; D008175:Lung Neoplasms / Q000150:complications / Q000628:therapy; D008297:Male; D053139:Oseltamivir / Q000627:therapeutic use; D011024:Pneumonia, Viral / Q000209:etiology*; D011654:Pulmonary Edema / Q000209:etiology / Q000503:physiopathology; D012128:Respiratory Distress Syndrome / Q000097:blood / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D013921:Thrombocytopenia / Q000209:etiology
D000998:Antiviral Agents; D053139:Oseltamivir