Friday, January 10, 2014

#H7N9 Guangdang Foshan 51(F) Update - Incresed Critical Condition

Foshan first case of human infection with H7N9 patients in critical condition or nothing to do with poultry pathogens
Yesterday was the second day of Foshan local people diagnosed the first case of H7N9 infection in patients after. According to the latest results of the consultation admitted to hospital in Foshan City, a hospital, the patient's condition yesterday no signs of improvement compared to a few days ago, is still very serious. After a few days of treatment, the vice president of chapter into the country said that as the case has been three years history of diabetes, and weight suspected lung disease, while patients after the onset of live poultry slaughtered in history, consultation Group believes the etiology of this case or nothing to do with birds.  

Serious illness treatment difficult The Hospital of Foshan City, a first case of human infection with the H7N9 patients Choi, female, 51 years old, Nanhai Jiujiang people diagnosed with the disease in the evening after 8, the hospital is still in the ICU for treatment. The latest diagnostic results for patients infected with avian influenza (critical type), severe pneumonia, severe sepsis, septic shock, multiple organ dysfunction syndrome (respiration, circulation, blood, kidneys, nerves), viral myocarditis, cardiac decompensation, type Ⅱ diabetes mellitus, hypokalemia, hyponatremia. 

 At present, for the patient, chapter into the country, said the hospital has organized expert consultation every effort to rescue, but the patient's condition is still critical, still need mechanical ventilator, vasopressors to maintain blood pressure, any time of danger. In addition, the patients in 2013 in Jiujiang hospital for chest CT examination showed lung lesions, and continued progress, the Guangzhou Institute Professor call consultation considered the possibility can not be ruled out lung cancer, the patient's long-term prognosis is poor, treatment is difficult .

Zhang introduced into the country, three days later the patient came to the city, a hospital has been taking Tamiflu, after increasing the dose increased treatment, the disease is also no signs of improvement, the patient's lung infection yesterday opposite the area increases, the situation is very critical. Live poultry before the onset of disease, or history of exposure to base the main reason
According to Yu, deputy director of the hospital ICU iron Gull introduced before the patient had a history of diabetes for 3 years, while half of the patients had been previously suspected tuberculosis disease, accompanied by a long-term cough, expectoration, but before the patient has been In Jiujiang hospital. 

According to patient reports feeling often cough, Jiujiang hospital before the patient has been suspected tuberculosis, but has been unable to confirm the diagnosis. Fitch iron Gull, due to low immunity in patients with diabetes, the greater the likelihood of being infected, if it is also suffering from other underlying diseases, it will make possible significant increase in H7N9's suffering. He admitted, obesity, malnutrition, cancer patients after surgery, the patient is recovering from heart disease is slow, long-term use in patients with hypertension and immunological preparations and other patients who are chronic infections in high-risk populations H7N9.

 Fitch iron Gull introduced before the patient Choi has been engaged in financial and other clerical work at a gas station, work content much in contact with poultry. Although patients who lives next to Jiujiang, a farmers market, but patients said after the onset of the day, only to slaughter live poultry behavior. Therefore, chapter into the country, said the etiology of the patient may be unrelated to poultry, severe underlying disease may induce infection is the most important reason. In this regard, he further explained, on the one hand the long-term close contact with the patient's family has not yet found signs of infection, and these days in close contact with the patient seven city hospital medical workers currently in the normal hand, and Foshan adjacent Yangjiang 10 live bird markets have 9 found H7N9 epidemic, but the city only three cases of human infection with H7N9 cases, which also belongs to distribute three patients state, similar to the Foshan two patients have been diagnosed case , but so far only two cases previously diagnosed patients in Zhejiang is kinship, there may be cases of human to human transmission, while the rest occurred in people infected are in sporadic outbreaks, human to human transmission is unlikely. So he told the people not to be too worried, as long as pay more attention to exercise, attention to indoor air, eat cooked food, once coughing, fever promptly to the hospital, it can greatly avoid serious infections.  

Case treatment schedule The evening of 31 December 2013 fever to 40 ℃, cough, expectoration.
January 1, 2014, the 2nd anti-infection treatment to hospitals in Foshan Jiujiang, fever symptomatic treatment support, the condition temporarily improved.
January 3 to Foshan City, a hospital fever clinic, there are significant cough, expectoration, shortness of breath, infected subjects treated in the hospital.
At 19:20 on January 3 respiratory failure, endotracheal intubation with mechanical ventilation.
At 16:10 on January 4 into the hospital ICU emergency treatment.
January 7, Foshan City, CDC reports H7N9 nucleic acid testing positive patients diagnosed with severe infection of H7N9 avian influenza.

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