#H7N9 First Confirmed Cluster in Shanghai

I have posted below the two family members that are confirmed with H7N9.  One has died.

Shanghai – Confirmed Cluster

Date of Report:  4/4/13

Name:  52(F)

From:  Shanghai

3/27: Emer. Rm -fever, chills, X-ray showed small patchy shadow in lower lob of right lung.  Antibiotics intravenously for 3 days.

Emer. Rm again (date ?) – shortness of breath.  Put on vent.  Diag: sev. flu, pneumonia, hypoxia.  Treated w/methylprednisolone, antibiotics, immune globulin treatment.

Adm:  Huashan Hospital

DOD:  4/3/13

Confirmed:  4/4/13

Note:  Husband developed fever and runny nose.  Husband later tested negative.  Case had no contact with poultry.  Poultry conf. at local market near her.

Group said animal-to-human transmission and human-to-human transmission are both being considered in her case.

Update 4/13:  Husband Tests Positive - See Report 4/13/13  Gumou (56)M

Shanghai – Confirmed Cluster

Date of Report:  4/13/13

Name:  Gumou (56)M

From:  Shanghai

Onset:  4/1

4/2 & 4/3:  2 trips to Huashan Hospital

4/4:  Shanghai Public HCC

4/5:  Shanghai CDC throat swab sample nucleic acid negative

4/10:  Shanghai CDC sampled again + lower resp. tract secretions.

Confirmed:  4/11 Shanghai CDC nucleic acid

Notes:  4 contacts monitored. 

Update:  4/13:  Wife Tests Positive – See Report 4/4/13 52(F)