title: Novel Influenza A (H1N1/09) Virus Infection during Pregnancy in a Kidney Transplant Recipient.
abstract: We report the first case of a pregnant renal transplant patient with H1N1/09 infection. The woman showed a mild clinical course after diagnosis of H1N1/09 infection and therapy with oseltamivir (2 × 45 mg per day). After delivery by cesarean section, the neonate exhibited moderate respiratory and circulatory dysregulation, which spontaneously normalised a few days postpartum. In conclusion, rapid diagnosis of H1N1/09 and dose-adapted therapy with oseltamivir resulted in successful delivery of a healthy infant in our renal transplanted patient but emphasized the need for consequent vaccination strategies in pregnant transplant recipients for new influenza A pandemics in the future.
authors.affiliation: Institut für Klinische Pharmakologie und Toxikologie, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany ; Kuratorium für Heimdialyse und Nierentransplantation Nierenzentrum Ulm, Erlenstrasse 40, 89081 Ulm, Germany.
authors.forename: Lars
authors.initials: L
authors.lastname: Rothermund
authors.affiliation: Institut für Klinische Pharmakologie und Toxikologie, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany.
authors.forename: Reinhold
authors.initials: R
authors.lastname: Kreutz
authors.affiliation: Sektion Nephrologie, Abteilung Innere Medizin I, Universitätsklinikum, Albert-Einstein Allee 23, 89070 Ulm, Germany.
authors.forename: Frieder
authors.initials: F
authors.lastname: Keller