Successful bilateral lung transplantation in a patient with end-stage lung disease and positive novel influenza virus (H1N1)

J Heart Lung Transplant. 2010 Aug;29(8):898-9. doi: 10.1016/j.healun.2010.04.017. Epub 2010 Jun 11.

Abstract

In 2009, a pandemic novel influenza virus (H1N1) outbreak was declared by the World Health Organization and resulted in significant worldwide illness. This report describes a 50-year-old male with end-stage lung disease secondary to alpha(1)-anti-trypsin deficiency and chronic obstructive pulmonary disease. He was admitted for potential bilateral lung transplantation when suitable organs became available. Incidentally, he was found to have some non-specific symptoms, including malaise and myalgias. These findings were attributed to killed-virus H1N1 vaccine given 48 hours earlier. However, as a safety measure, a nasopharyngeal swab was taken, and anti-viral therapy with oseltamivir (Tamiflu) was started empirically. He underwent bilateral lung transplantation on the same day of admission. In the immediate post-operative period his nasopharyngeal swab came back positive for H1N1 influenza virus. Then, post-operatively, two consecutive bronchoalveolar lavage samples from the transplanted lungs were found to be positive for H1N1 virus. He received three-weeks of antiviral treatment post-operatively and he had uneventful procedure with favorable outcome.

Publication types

  • Case Reports

MeSH terms

  • Antiviral Agents / therapeutic use
  • Bronchoalveolar Lavage
  • Humans
  • Incidental Findings*
  • Influenza A Virus, H1N1 Subtype*
  • Influenza, Human / diagnosis*
  • Influenza, Human / drug therapy
  • Influenza, Human / microbiology
  • Lung / microbiology
  • Lung / surgery
  • Lung Transplantation / methods*
  • Male
  • Middle Aged
  • Oseltamivir / therapeutic use
  • Pulmonary Disease, Chronic Obstructive / surgery*
  • Treatment Outcome

Substances

  • Antiviral Agents
  • Oseltamivir