Hemophagocytic Lymphohistiocytosis Induced by Severe Pandemic Influenza A (H1N1) 2009 Virus Infection: A Case Report

After early outbreaks in North America in April 2009, the pandemic influenza A (H1N1) virus spread rapidly around the world, and even some patients developed certain severe complications. We reported one case of hemophagocytic lymphohistiocytosis (HLH) induced by severe pandemic influenza A (H1N1) v...

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Main Authors: Xiang-Yan Zhang, Xian-Wei Ye, Duan-Xing Feng, Jing Han, Dan Li, Cheng Zhang
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2011/951910
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author Xiang-Yan Zhang
Xian-Wei Ye
Duan-Xing Feng
Jing Han
Dan Li
Cheng Zhang
author_facet Xiang-Yan Zhang
Xian-Wei Ye
Duan-Xing Feng
Jing Han
Dan Li
Cheng Zhang
author_sort Xiang-Yan Zhang
collection DOAJ
description After early outbreaks in North America in April 2009, the pandemic influenza A (H1N1) virus spread rapidly around the world, and even some patients developed certain severe complications. We reported one case of hemophagocytic lymphohistiocytosis (HLH) induced by severe pandemic influenza A (H1N1) virus infection. A 17-year-old girl had acute onset of fever, dry cough, rhinorrhea, and sore throat Her family members and close friends also had the similar symptoms. Anti-infection treatment with penicillin was given after 8 days of the onset of symptoms in the local hospital, and her chest radiograph showed consolidation of the left lung. Then, she was sent to the People's Hospital of Guizhou Province in China and endotracheal intubation were underwent on the ninth day for acute hypoxic respiratory failure. She was diagnosed with HLH induced by severe pandemic influenza A (H1N1) 2009 virus. Oseltamivir, steroids, immunoglobulin, and plasmapheresis were given immediately after admission. After being treated in the People's Hospital of Guizhou Province for 16 days, she was discharged. This experience shows that HLH may be a life-threatening complication for severe pandemic influenza A (H1N1) 2009 virus infection and responds well to therapy.
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spelling doaj-art-7d6e5d1f2bd448d1b8fc27dd3501b9bf2025-08-20T02:07:12ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/951910951910Hemophagocytic Lymphohistiocytosis Induced by Severe Pandemic Influenza A (H1N1) 2009 Virus Infection: A Case ReportXiang-Yan Zhang0Xian-Wei Ye1Duan-Xing Feng2Jing Han3Dan Li4Cheng Zhang5Department of Respiratory Medicine, The People's Hospital of Guizhou Province, No. 83 Zhongshan Dong Road, Guiyang 550002, ChinaDepartment of Respiratory Medicine, The People's Hospital of Guizhou Province, No. 83 Zhongshan Dong Road, Guiyang 550002, ChinaDepartment of Respiratory Medicine, The People's Hospital of Guizhou Province, No. 83 Zhongshan Dong Road, Guiyang 550002, ChinaDepartment of Respiratory Medicine, The People's Hospital of Guizhou Province, No. 83 Zhongshan Dong Road, Guiyang 550002, ChinaDepartment of Respiratory Medicine, The People's Hospital of Guizhou Province, No. 83 Zhongshan Dong Road, Guiyang 550002, ChinaDepartment of Respiratory Medicine, The People's Hospital of Guizhou Province, No. 83 Zhongshan Dong Road, Guiyang 550002, ChinaAfter early outbreaks in North America in April 2009, the pandemic influenza A (H1N1) virus spread rapidly around the world, and even some patients developed certain severe complications. We reported one case of hemophagocytic lymphohistiocytosis (HLH) induced by severe pandemic influenza A (H1N1) virus infection. A 17-year-old girl had acute onset of fever, dry cough, rhinorrhea, and sore throat Her family members and close friends also had the similar symptoms. Anti-infection treatment with penicillin was given after 8 days of the onset of symptoms in the local hospital, and her chest radiograph showed consolidation of the left lung. Then, she was sent to the People's Hospital of Guizhou Province in China and endotracheal intubation were underwent on the ninth day for acute hypoxic respiratory failure. She was diagnosed with HLH induced by severe pandemic influenza A (H1N1) 2009 virus. Oseltamivir, steroids, immunoglobulin, and plasmapheresis were given immediately after admission. After being treated in the People's Hospital of Guizhou Province for 16 days, she was discharged. This experience shows that HLH may be a life-threatening complication for severe pandemic influenza A (H1N1) 2009 virus infection and responds well to therapy.http://dx.doi.org/10.1155/2011/951910
spellingShingle Xiang-Yan Zhang
Xian-Wei Ye
Duan-Xing Feng
Jing Han
Dan Li
Cheng Zhang
Hemophagocytic Lymphohistiocytosis Induced by Severe Pandemic Influenza A (H1N1) 2009 Virus Infection: A Case Report
Case Reports in Medicine
title Hemophagocytic Lymphohistiocytosis Induced by Severe Pandemic Influenza A (H1N1) 2009 Virus Infection: A Case Report
title_full Hemophagocytic Lymphohistiocytosis Induced by Severe Pandemic Influenza A (H1N1) 2009 Virus Infection: A Case Report
title_fullStr Hemophagocytic Lymphohistiocytosis Induced by Severe Pandemic Influenza A (H1N1) 2009 Virus Infection: A Case Report
title_full_unstemmed Hemophagocytic Lymphohistiocytosis Induced by Severe Pandemic Influenza A (H1N1) 2009 Virus Infection: A Case Report
title_short Hemophagocytic Lymphohistiocytosis Induced by Severe Pandemic Influenza A (H1N1) 2009 Virus Infection: A Case Report
title_sort hemophagocytic lymphohistiocytosis induced by severe pandemic influenza a h1n1 2009 virus infection a case report
url http://dx.doi.org/10.1155/2011/951910
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