Friday, March 9, 2012

Indonesia: Latest #H5N1 #Birdflu Bengkulu Death More Details

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dr. Abdul Razak MH Pulo
March 9 2012

Bengkulu - It was unexpected that one day we will establish the diagnosis of suspected bird flu (H5N1) in a human.
The first experience occurred last week when me and my colleague, dr. Edi Hidayat, also from Aceh, which was sent on duty at the Hospital Muhammad Yunus (RSMY) Bengkulu as an Internal Medicine Resident of Palembang Unsri FK, examining a patient. As reported by People's Daily Bengkulu, (6/03) of a patient, MP, women aged 24 years died from bird flu infected. The next day, Metro TV also broadcast the same news. Yes, we're the first one to suspect the patient suspect bird flu.

We began to suspect the patient's condition is declining very rapidly, within hours, and also no response to drugs that have been granted. Patients experiencing severe shortness, high fever, and coughing. The results again showed a thoracic X-ray picture of the extensive consolidation in the left lung and an overview perselubungan homogeneous in basal right lung.

Laboratory results also strongly support that direction. Until we are assured that these patients had a viral infection, but virus what can make a very rapid deterioration? Initially we were hesitant because of the interviews with patients and their families do not get a history of contact with poultry.

Then me and dr. Edi Hidayat discussion, re-read the literature on avian influenza. Until we finally conclude the patient is likely infected with H5N1, the bird flu virus. Immediately, we report these findings to Konsulen Specialist Internal Medicine, and the patient immediately transferred to the isolation room.

To prove whether or not the bird flu case, then the local health office RSMY and send samples to the laboratory research and development of the Ministry of Health in Jakarta.
A few days later the results obtained, and it turns out positive for bird flu, H5N1.

But unfortunately, the patient died, despite being first can get the maximum handling. From BBC.co.uk I got the news that the bird flu patient deaths in Bengkulu last week making Indonesia the country with the highest number of H5N1 victims in the world, according to World Health Organization, WHO. Of the 349 deaths from bird flu worldwide since 2003, 155 of which occurred in Indonesia. dr. Abdul Razak MH Pulo, Faculty of Medicine Resident of Palembang Unsri can be reached at: razak_pulo@yahoo.com

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