title: Treatment with oseltamivir and prone positioning for a 9-year-old boy with ARDS caused by pandemic H1N1 2009 influenza.
abstract: Here we report the case of a 9-year-old boy with acute respiratory distress syndrome (ARDS) caused by novel H1N1 swine-origin influenza virus A. A diagnosis of ARDS caused by a novel influenza A (H1N1) virus was made on the basis of chest X-ray and computed tomography together with low oxygenation index (OI) and the detection of novel influenza A (H1N1) virus from tracheal secretion samples. Oseltamivir phosphate and prone positioning were effective in the treatment of ARDS in this case. These findings suggest that anti-viral drugs and prone positioning can play an important role in the improvement of ARDS caused by novel H1N1 swine-origin influenza virus A.
authors.affiliation: Department of Pediatrics, Fukushima Medical University School of Medicine, Fukushima, Japan.
authors.forename: Kazuhide
authors.initials: K
authors.lastname: Suyama
authors.forename: Yukihiko
authors.initials: Y
authors.lastname: Kawasaki
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Suzuki
authors.forename: Kiyoko
authors.initials: K
authors.lastname: Ishii
authors.forename: Nobuko
authors.initials: N
authors.lastname: Sakai
authors.forename: Masatoki
authors.initials: M
authors.lastname: Sato
authors.forename: Kohichi
authors.initials: K
authors.lastname: Hashimoto
authors.forename: Mitsuaki
authors.initials: M
authors.lastname: Hosoya
mesh_terms: D000998:Antiviral Agents / Q000627:therapeutic use*; D002648:Child; D003131:Combined Modality Therapy; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype; D007251:Influenza, Human / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D053139:Oseltamivir / Q000627:therapeutic use*; D010100:Oxygen / Q000097:blood; D058873:Pandemics; D016684:Prone Position; D012128:Respiratory Distress Syndrome / Q000175:diagnosis / Q000628:therapy*; D014057:Tomography, X-Ray Computed
chemical_list: D000998:Antiviral Agents; D053139:Oseltamivir; D010100:Oxygen