title: H3N2 Virus as Causative Agent of ARDS Requiring Extracorporeal Membrane Oxygenation Support.
abstract: Pandemic influenza virus A(H1N1) 2009 was associated with a higher risk of viral pneumonia in comparison with seasonal influenza viruses. The influenza season 2011-2012 was characterized by the prevalent circulation of influenza A(H3N2) viruses. Whereas most H3N2 patients experienced mild, self-limited influenza-like illness, some patients were at increased risk for influenza complications because of age or underlying medical conditions. Cases presented were patients admitted to the Intensive Care Unit (ICU) of ECMO referral center (Careggi Teaching Hospital, Florence, Italy). Despite extracorporeal membrane oxygenation treatment (ECMO), one patient with H3N2-induced ARDS did not survive. Our experience suggests that viral aetiology is becoming more important and hospitals should be able to perform a fast differential diagnosis between bacterial and viral aetiology.
authors: Anaesthesia and Intensive Care Unit of Emergency Department, Careggi Teaching Hospital, Florence, Italy.
authors: Adriano
authors: A
authors: Peris
authors: Anaesthesia and Intensive Care Unit of Emergency Department, Careggi Teaching Hospital, Florence, Italy.
authors: Giovanni
authors: 0000-0001-8648-0057
authors: G
authors: Zagli
authors: Department of Heart and Vessels, Careggi Teaching Hospital, Florence, Italy.
authors: Pasquale
authors: P
authors: Bernardo
authors: Department of Heart and Vessels, Careggi Teaching Hospital, Florence, Italy.
authors: Massimo
authors: M
authors: Bonacchi
authors: Anaesthesia and Intensive Care Unit of Emergency Department, Careggi Teaching Hospital, Florence, Italy.
authors: Morena
authors: M
authors: Cozzolino
authors: Anaesthesia and Intensive Care Unit of Emergency Department, Careggi Teaching Hospital, Florence, Italy.
authors: Lucia
authors: L
authors: Perretta
authors: Department of Clinical and Experimental Medicine, University of Florence, Florence, Italy.
authors: Alberta
authors: A
authors: Azzi
authors: Anaesthesia and Intensive Care Unit of Emergency Department, Careggi Teaching Hospital, Florence, Italy.
authors: Giovanni
authors: G
authors: Cianchi