The H1N1 influenza pneumonia as early complication after heart transplantation--experience from the Dubrava University Hospital, Zagreb, Croatia [H1N1 influenza pneumonija kao rana komplikacija nakon transplantacije u srca - iskustvo iz Kliničke bolnice Dubrava]

Sičaja, Mario and Šikić, Jozica and Starčević, Boris and Miklec, Maria Nicole and Vince, Adriana (2013) The H1N1 influenza pneumonia as early complication after heart transplantation--experience from the Dubrava University Hospital, Zagreb, Croatia [H1N1 influenza pneumonija kao rana komplikacija nakon transplantacije u srca - iskustvo iz Kliničke bolnice Dubrava]. Collegium Antropologicum, 37 (1). pp. 309-311. ISSN 0350-6134

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Abstract

In April 2009, a novel influenza A (H1N1) virus was initially detected, and only after two months World Health Organization declared pandemic, while virus became globally present. We report here a confirmed case of patient suffering from H1N1 influenza pneumonia in an early period after heart transplantation. Complications of influenza A and B include viral pneumonia, secondary bacterial pneumonia and possibly acute allograft rejection in the setting of weaning of immunosuppression. In our case H1N1 influenza pneumonia was treated according to the published guidelines and had a mild course of disease, but nevertheless emphasis should be put on the prevention of disease applying known general infection control procedures and vaccination while disease course cannot be predicted.

Abstract in Croatian

U travnju 2009. godine, novi virus influenze A (H1N1) inicijalno je detektiran, i nakon samo dva mjeseca Svjetska zdravstvena organizacija (WHO) proglasila je pandemiju, s obzirom da je virus postao globalno prisutan. Prikazujemo klinički slučaj bolesnika koji je liječen od H1N1 influenza pneumonije u ranom periodu nakon transplantacije srca. Komplikacije influenza A i B uključuju virusnu pneumoniju, sekundarnu bakterijsku pneumoniju i moguću akutnu reakciju odbacivanja alografta tijekom reduciranja imunosupresivne terapije. U našem slučaju H1N1 influenza pneumonija liječena je sukladno dostupnim smjernicama uz blagi tijek bolesti. Bez obzira na činjenicu blagog tijeka, naglasak bi svakako trebao biti na prevenciji nastanka bolesti uz primjenu poznate opće poznatih principa kontrole širenja bolesti i vakcinacije s obzirom na činjenicu da tijek bolesti ne može biti predviđen.

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