Case Ex-Suzhou Jiangsu
The patient is a hepatitis B carrier,
high blood pressure, and long-term work in Suzhou, Jiangsu between
Suzhou and Taiwan. The patient to Suzhou, 3/28 to 4/9 4/9 returned to
Taiwan from Shanghai, the case during the Suzhou history of exposure to
birds, no consumption of immature birds or egg. 4/12 began to have
fever, night sweats, fatigue, respiratory and gastrointestinal
symptoms, 4/16 due to high fever clinic, clinic physicians recommended
referral then to a hospital emergency room and stay in a single ward,
in 4/16 Tamiflu, 4/18 chest X-light right lower lobe interstitial
infiltrates, then transferred to a medical center in 4/20 4/19 due to
disease progression at night due to respiratory failure catheter into
the intensive care unit negative pressure isolation, during which the
two mining throat swabs sent for testing H7N9 influenza tests were
negative. The present H7N9 positive by RT-PCR sputum inspection the
morning of 4/24, 4/24 evening Genome Sequencing confirmed by the
National Influenza Center.
April 24, 2013
The above Taiwan
Department of Health translation describes the first
confirmed H7N9 bird flu case in Taiwan. The patient developed
symptoms three days after returning from Suzhou, Jiangsu. This case is
the first outside of mainland China and is the second example of H7N9
in a case who traveled from the Shanghai area. The earlier case
(2M) was identified in Hunan (see map)
and has fully recovered.
The above case was
identified at the Taoyuan International Airport (see map)
and is in critical condition. He denied exposure to birds.
Health care workers (HCWs) at three Taiwan hospitals are under
observation and three have upper respiratory tract symptoms.
The patient initially
tested negative, raising detection concerns for mild cases, such as the
three HCWs in Taiwan.
More information on the
symptomatic contacts would be useful.
at Nature Precedings