Severe acute respiratory infection caused by swine influenza virus in a child necessitating extracorporeal membrane oxygenation (ECMO), the Netherlands, October 2016

Euro Surveill. 2016 Dec 1;21(48):30416. doi: 10.2807/1560-7917.ES.2016.21.48.30416.

Abstract

In October 2016, a severe infection with swine influenza A(H1N1) virus of the Eurasian avian lineage occurred in a child with a previous history of eczema in the Netherlands, following contact to pigs. The patient's condition deteriorated rapidly and required life support through extracorporeal membrane oxygenation. After start of oseltamivir treatment and removal of mucus plugs, the patient fully recovered. Monitoring of more than 80 close unprotected contacts revealed no secondary cases.

Keywords: Children; ECMO; Influenza; Severe; Swine.

MeSH terms

  • Animals
  • Antiviral Agents / therapeutic use
  • Extracorporeal Membrane Oxygenation*
  • Humans
  • Influenza A Virus, H1N1 Subtype / isolation & purification*
  • Influenza, Human / diagnosis*
  • Influenza, Human / drug therapy
  • Influenza, Human / virology
  • Intensive Care Units, Pediatric
  • Netherlands
  • Orthomyxoviridae Infections / transmission
  • Orthomyxoviridae Infections / veterinary
  • Orthomyxoviridae Infections / virology
  • Oseltamivir / therapeutic use
  • Real-Time Polymerase Chain Reaction
  • Respiratory Tract Infections / diagnosis
  • Respiratory Tract Infections / drug therapy
  • Respiratory Tract Infections / virology*
  • Severe Acute Respiratory Syndrome / complications
  • Severe Acute Respiratory Syndrome / therapy*
  • Swine
  • Swine Diseases / transmission
  • Swine Diseases / virology
  • Treatment Outcome

Substances

  • Antiviral Agents
  • Oseltamivir