Khouri Alain, Helou Mariana, Haj Hussein Ahmad, Tanios Alain, Nakhle Ramzi
Emergency Department, Lebanese American University School of Medicine, Beirut, LBN.
Cureus. 2025 Jul 13;17(7):e87803. doi: 10.7759/cureus.87803. eCollection 2025 Jul.
Influenza A can present with a range of respiratory symptoms and, in some cases, lead to serious complications. One such complication is acute respiratory distress syndrome (ARDS), which may result from an intense immune response to viral replication in the lungs. We describe a 52-year-old woman with no known comorbidities who developed rapidly progressive ARDS due to influenza A infection. Her clinical course was further complicated by a superimposed methicillin-resistant (MRSA) pneumonia. She required admission to the intensive care unit (ICU), intubation, and mechanical ventilation. This case illustrates that influenza A can lead to severe respiratory failure even in individuals without underlying health conditions. It underscores the importance of early recognition of complications and timely escalation of care in patients with influenza-like illness.
甲型流感可表现出一系列呼吸道症状，在某些情况下还会导致严重并发症。其中一种并发症是急性呼吸窘迫综合征（ARDS），它可能是由肺部对病毒复制的强烈免疫反应引起的。我们描述了一名52岁无已知合并症的女性，她因甲型流感感染而迅速发展为进行性ARDS。她的临床病程因叠加的耐甲氧西林金黄色葡萄球菌（MRSA）肺炎而进一步复杂化。她需要入住重症监护病房（ICU）、插管并接受机械通气。该病例表明，即使在没有基础健康问题的个体中，甲型流感也可导致严重呼吸衰竭。它强调了早期识别并发症以及对流感样疾病患者及时加强治疗的重要性。
