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一名肺移植患者2009年甲型H1N1流感的诊断挑战及对预防和治疗的长期影响:病例报告

Challenges in the diagnosis of 2009 H1N1 in a lung transplant patient and the long-term implications for prevention and treatment: a case report.

作者信息

Davis C S, Deburghgraeve C R, Yong S, Parada J P, Palladino-Davis A G, Lowery E, Gagermeier J, Fisichella P M

机构信息

Department of Surgery, Loyola University Medical Center, Stritch School of Medicine, Maywood, Illinois 60153, USA.

出版信息

Transplant Proc. 2010 Dec;42(10):4295-9. doi: 10.1016/j.transproceed.2010.09.028.

Abstract

Although respiratory viral infections have been associated with acute rejection and bronchiolitis obliterans syndrome, the long-term impact of the novel pandemic influenza A (2009 H1N1) virus on lung transplant patients has not been defined. We describe the diagnostic challenges and long-term consequences of 2009 H1N1 infection in a lung transplant patient, discuss the potential implications for prevention and treatment, and conclude that even timely antiviral therapy may be insufficient to prevent long-term morbidity.

摘要

尽管呼吸道病毒感染与急性排斥反应和闭塞性细支气管炎综合征有关,但新型甲型H1N1流感大流行病毒对肺移植患者的长期影响尚未明确。我们描述了一名肺移植患者感染2009 H1N1的诊断挑战和长期后果,讨论了预防和治疗的潜在意义,并得出结论,即使及时进行抗病毒治疗也可能不足以预防长期发病。

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本文引用的文献

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Guidance on novel influenza A/H1N1 in solid organ transplant recipients.新型甲型 H1N1 流感在实体器官移植受者中的指南。
Am J Transplant. 2010 Jan;10(1):18-25. doi: 10.1111/j.1600-6143.2009.02960.x. Epub 2009 Dec 2.
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Lung pathology in fatal novel human influenza A (H1N1) infection.新型致命性人感染甲型 H1N1 流感的肺部病理学改变。
Am J Respir Crit Care Med. 2010 Jan 1;181(1):72-9. doi: 10.1164/rccm.200909-1420OC. Epub 2009 Oct 29.

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