title: Severe A(H1N1)-associated Pneumonia Sequential to Clamidophila pneumoniae Infection in Healthy Subject.
abstract: BACKGROUND
  Pandemic influenza virus has been implicated in serious lower airways illness and death in subjects both with and without underlying medical conditions. Predictive factors for severe disease in healthy individuals have not been identified.
  
  
  METHODS
  Severe A(H1N1)-associated pneumonia occurring in a healthy subject without underlying medical conditions sequential to a Clamidophila pneumoniae infection, is reported.
  
  
  CONCLUSIONS
  A potential synergistic mechanism by which other pathogens could interfere with the clinical course of A(H1N1) infection, is suggested.
authors.affiliation: Department of Health Sciences, Faculty of Medicine and Surgery, University of Molise, Campobasso, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Bianco
authors.forename: Roberto
authors.initials: R
authors.lastname: Parrella
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Esposito
authors.forename: Gennaro
authors.initials: G
authors.lastname: Mazzarella
authors.forename: Michela Lucia
authors.initials: ML
authors.lastname: Sammarco
authors.forename: Luca
authors.initials: L
authors.lastname: Brunese
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Ripabelli
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000998:Antiviral Agents / Q000627:therapeutic use; D017963:Azithromycin / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D023521:Chlamydophila Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D016993:Chlamydophila pneumoniae; D060085:Coinfection; D004359:Drug Therapy, Combination; D024841:Fluoroquinolones / Q000627:therapeutic use; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype; D007251:Influenza, Human / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D015242:Ofloxacin / Q000627:therapeutic use; D053139:Oseltamivir / Q000627:therapeutic use; D011024:Pneumonia, Viral / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents; D000998:Antiviral Agents; D002511:Cephalosporins; D024841:Fluoroquinolones; D053139:Oseltamivir; D017963:Azithromycin; D015242:Ofloxacin