Pregnant women infected with pneumonia "strange" not to find out the root cause

[Sally Furniss]

Pregnant women infected with pneumonia "strange" does not find out the root cause
(AP) - In the last week, three pregnant women have been transferred to hospital from heat illness during severe lung inflammation. Suspected lung damage caused by viruses, doctors conducted tests of influenza A/H5N1 virus, H1N1, H3N2, but the results were negative.
A severe pneumonia patients are being treated in isolation room pressure center, a tropical disease hospital INVESTMENT

Critical illness of unknown cause

Nguyen Thi My Linh patients (22 years old, native of Duc Hoa, Soc Son, Hanoi) is 34 weeks pregnant a sudden high fever suddenly, after two days, then started breathing fever should be taken directly to family illness central institute of tropical diseases. When hospitalized, the patient was in coma, doctors had to open the windpipe and mechanical ventilation for patients. At the same time, samples of patients Spirit also conducted the test, find the cause but were negative for the virus and the doctor could not find a root cause patients with severe pneumonia.

The patient has been treated positively moderate pneumonia calculated to keep the pregnancy. After nearly a week of treatment, lung inflammation was supported, patients do not have ventilation Spirit and can discharge in a few days. Son of this patient was born at 35 weeks, weighing 1.7 kg and is still being raised in the glass cage at Children's Hospital INVESTMENT. However, until now treating doctors still can not find the root cause of this patient's severe pneumonia.

Two other cases, patients D.TX, 19 (Hai Phong) is now 24 weeks pregnant and patients LMT also being treated at the Emergency Department - Treatment of active PRIVATE Tropical Diseases Hospital, also due to pneumonia of unknown causes. Heart attack patients have been critical, has been off the ventilator still awaiting recovery of gold Xoan patients are in serious condition, should continue ventilation.

Dr Intermediate, Deputy Head of Emergency - active treatment, Hospitals PRIVATE Tropical Diseases, said this when all three patients were hospitalized with severe breathing problems manifested after 2-3 days of high fever and associated X-ray results showed that very severe pneumonia and mechanical ventilation are required. "Patients who show symptoms of severe pneumonia due to respiratory failure and we are progressing patients with suspected viral pneumonia, should have taken samples to test with some influenza viruses are circulating, as influenza virus A/H5N1, A/H1N1, A/H3N2 flu but results were negative for. To date, two patients have been critical, a situation improved, but still can not find the root cause of all three of these patients, "said BS level.

http://dantri.com.vn/c7/s7-396702/thai-phu-mac-viem-phoi-la-khong-tim-ra-can-nguyen.htm

[Treyfish]

Pregnant women infected with pneumonia "strange" not to find out the root cause

(AP) - In the past week, three pregnant women have been transferred to hospital from heat illness in severe lung inflammation. Suspected lung damage caused by viruses, doctors conducted tests of influenza A/H5N1 virus, H1N1, H3N2, but the results were negative.

A severe pneumonia patients are being treated in isolation room pressure center, a tropical disease hospital INVESTMENT

A critical illness of unknown cause

Nguyen Thi My Linh patients (22 years old, native of Duc Hoa, Soc Son, Hanoi) is 34 weeks pregnant a sudden high fever suddenly, two days after the fever began breathing difficulties should be taken directly to family illness central institute of tropical diseases. When hospitalized, the patient was in coma, doctors had to open the windpipe and mechanical ventilation for patients. At the same time, samples of patients Spirit also conducted the test, find the cause but were negative for the virus and the doctor could not find a root cause patients with severe pneumonia.

The patient has been treated positively moderate pneumonia calculated to keep the pregnancy. After nearly a week of treatment, lung inflammation was supported, patients do not have ventilation Spirit and can discharge in a few days. Son of the patients also were born at 35 weeks, weighing 1.7 kg and is still being raised in the glass cage at Children's Hospital INVESTMENT.
However, until now treating doctors still can not find the root cause of this patient's severe pneumonia.
Two other cases, patients D.TX, 19 (Hai Phong) is now 24 weeks pregnant and patients LMT also being treated at the Emergency Department - Treatment of active tropical disease hospital INVESTMENT, also due to pneumonia of unknown causes. Heart attack patients have been critical, has been removed pending recovery ventilator patients Xoan gold are still in serious condition, should continue ventilation.

Dr Intermediate, Deputy Head of Emergency - active treatment, Hospitals PRIVATE Tropical Diseases, said this when all three patients were hospitalized with severe breathing problems manifested after 2-3 days of high fever and associated X-ray results showed that very severe pneumonia and mechanical ventilation are required."Patients who show symptoms of severe pneumonia due to respiratory failure and we are progressing patients with suspected viral pneumonia, should have taken samples to test with some influenza viruses are circulating, as influenza virus A/H5N1, A/H1N1, A/H3N2 flu but results were negative for. To date, two patients have been critical, a situation improved, but still can not find the root cause of all three of these patients, "said BS level.

Not a "strange disease"

While not finding out the root cause of pneumonia caused severe for pregnant women, but that BS level, it is not a "strange disease". As explained BS level, although the test results with three types of influenza viruses are circulating for the negative, but the logic of all three patients have shown this case is an inflammation of the lungs caused by viruses.

Furthermore, treatment experience, doctors have also seen many cases of severe pneumonia but not finding the root cause. "Not all cases of severe pneumonia after any test samples to find out the root cause as well. However, we are still saving samples of three patients in the closet deep sound, conditions will continue to test, find out the root cause of pneumonia caused heavy. In addition, three samples of these patients were also sent to the Institute for Hygiene and Epidemiology FROM test ", said BS level.

Can not find the root causes disease, the doctors could proceed as a treatment of pneumonia cases usually based on the patient is pregnant. However, because the virus can not determine the cause, so patients are treated in special isolation room treatment negative pressure isolation to prevent the risk of infection.

BS alert level also, pregnant women often have weak immune systems than other subjects, so when there is fever, difficulty breathing need to be examined immediately to hospital, diagnosed in time, as three patients avoid people on, all were hospitalized in a state of very severe pneumonia, doctors have struggled new treatment saved the life of the patient from death.http://dantri.com.vn/c7/s7-396702/th...can-nguyen.htm

[Treyfish]

Re: Pregnant women infected with pneumonia "strange" not to find out the root cause

Appear strange pneumonia in pregnant women


last week at the Central Hospital for Tropical has received three patients with unusual symptoms of pneumonia. Essentially, all three patients are pregnant. So far, after one week of treatment, many times that the test can not find the root causes of benh.Khong

Dr Intermediate, Deputy Head of the Emergency Treatment-positive, the Central Hospital for Tropical, these patients were hospitalized in critical condition to life: respiratory failure, two white lung, blood low pressure. All patients were placed windpipe and breathing machine immediately. Blood gas test showed that patients who lacked blood oxygenation. These are symptoms of pneumonia severe acute respiratory failure progression (ARDS).



Dong Thi Xoan pregnant women, 19 (Hai Duong) suffered pneumonia ventilator're strange (Photo: VK).

Through many times test cases are negative for influenza. Doctors can not discover the origin of this pathology. As the world's medical literature, patients with symptoms of ARDS have high mortality rate to 30-60%.

According to Dr. Grant, BV has been treating patients with severe pneumonia but knows the origin, this is the first treatment of severe pneumonia that can not find the root cause. Based on experience with treating cases of unusual pneumonia, the doctor-style "enclosure." In particular, patients with pregnancy, the doctor has treated, medium to maintain the pregnancy.

Just strange treatment of pneumonia has delivered

That was the case patients, Nguyen Thi My Linh, 22, 34 weeks pregnant (home Duc Hoa, Soc Son, Hanoi) strange ARDS pneumonia infection, was hospitalized in a coma, have ventilation. The doctors prognosis was difficult pregnancy while keeping all the conditions right for her first save. Risk of pregnancy and prone to miscarriage.

After treatment for pneumonia was a strange week, Spirit patients out of danger. But this time, the pregnancy was not able to keep the pregnancy and out. Before the emergency, Intermediate BS, leader role ... childbirth.

A boy weighing 1.7 kg was born in rare circumstances. There are baby feeding glass cage at the Central Pediatrics Hospital, in good health. According to Dr. Grant, Spirit has recovered patients and health can be discharged in few days.

Also at the Central Hospital for Tropical, a patient is pregnant is another syndrome to ARDS ventilation and treatment in isolation rooms. The Town That Xoan patients, 19 (country Hai Duong) is now 24 weeks pregnant. According to Dr. Grant, the disease is in remission but still need help breathing because of pregnancy. In addition, patients should begin drug Xoan also support keeping pregnant
http://nld.com.vn/20100519094358214P...-mang-thai.htm

[Treyfish]

Re: Pregnant women infected with pneumonia "strange" not to find out the root cause

Appearance of severe pneumonia cases with no known cause

(17/05/2010)
Doctor Nguyen Hong Ha, deputy director of the Hospital Central Tropical Diseases, said in some cases of severe pneumonia admitted to hospital has treated some cases appear not determine the exact cause.
Dr. Nguyen Thanh Liem, director of Children's Hospital said, in this hospital had patients die from severe pneumonia, while the test samples of patients not identify virus strains / bacteria. Not finding the exact root cause will make the treatment more difficult.
At some hospitals, some people with respiratory diseases constitute a large proportion, with time up to 50-70% of people visit daily.http://translate.google.com/translat...%25AAn%2Bc%25E

[Treyfish]

Re: Pregnant women infected with pneumonia "strange" not to find out the root cause

A severe pneumonia patients are being treated in isolation room pressure center, a tropical disease hospitalhttp://tintuc.timnhanh.com/trangchu/...can-nguyen.htm

[Treyfish]

Re: Pregnant women infected with pneumonia "strange" not to find out the root cause

Appear strange pneumonia


08:19 20/05/2010


City - Central Tropical Disease Hospital (Hanoi) received treatment for three patients are particularly pregnant women and have suffered pneumonia strange that all tests are unknown causes. Meanwhile, the status of many children with chronic respiratory hospital admissions also occurred at Children's Hospital T.U.


Pneumonia of unknown cause to attack pregnant women

At the special isolation room Emergency Department - Treatment of active (Central Tropical Diseases Hospital) of patients being treated for Dong Thi Xoan (19 years old in Hai Phong), pregnancy at 24 weeks. Her small twisted animal body, no facial expression what's life without a pile of wires connected from the "C ventilator in the nose and throat patients.

Xoan patients hospitalized in a state of severe respiratory failure, taking two X-ray shows lung damage, translucent white. Doctor Nguyen, vice dean Intermediate Emergency Medical - Treatment for positive, patients were treated with APRV mode, a new form of ventilation is used sedatives, muscle relaxants may help patients mucus order to reduce airway obstruction, and lung damage can be forewarned if you have suddenly.

In the next room treatment, the patient, Nguyen Thi My Linh (23 years old, in Hanoi) is slowly recovering after overcoming illness danger. Patients hospitalized during the 34th week of pregnancy in a state of severe lung injury.In a week the doctors did everything but no tests to detect patients with pneumonia due to any causes. By week 35 of pregnancy, the patient suddenly gave birth to baby boy weighing 1.7 kg. Soon after the infant was brought to the treatment of premature Surgeons at Children's Hospital and development.

Doctor Nguyen Hong Ha - Deputy Director of the Hospital for these patients were hospitalized in multiple organs failure status, blood pressure trapped (not measured), especially severe respiratory failure, two white lung, high risk of death. All patients were placed windpipe and breathing machine immediately. Blood gas test showed that patients who lacked blood oxygenation. Dr. Ha, here are symptoms of pneumonia severe acute respiratory failure progression (ARDS).

Numerous tests, but all these patients were negative for the flu and could not find a root cause. World Health office records of patients with symptoms of ARDS have high mortality rate to 30-60%. Prior to that hospital doctors had to treat patients with severe pneumonia but knows the origin (due to H5N1 or H1N1 virus causes). This is the first treatment of severe pneumonia without finding the root cause.

Doctors must treat patients according to type of enclosure, ie treating the symptoms of the disease. Most difficult for patients who are newly pregnant pregnant women were rescued recently developed to ensure safe pregnancy. There are only pregnant women have a breathing machine, two other pregnant women disease progression toward recovery. All three patients were hospitalized later said should take samples for testing for viruses is difficult.

Cross-infection diseases

Erratic weather in recent days that the number of children hospitalized for respiratory tract infections is high. Among the many children who died had not a few children die from pneumonia infection plus deficit syndrome ARDS, ie, cross-infection syndrome patients in a hospital environment pollution.

Corridor before the department, Central Hospital rooms almost always crowded waiting or awaiting admission visits for treatment of children. In a few months back, the number of patients to medical examination and treatment of respiratory diseases including pneumonia increased rapidly. In science, respiratory therapy of children lying in a month to around 800 children, most between the ages of three to five months old.

Two common diseases in pediatric patients is lung bronchitis, acute and primary bronchial asthma. Of these, at least the baby was hospitalized several times since their birth. Hospitalized in a state of pneumonia, after a treatment period but not out, many children will be moving back down in the scientific treatment as worse-Emergency Department.

Worrying thing is in the process of examination and treatment from reality, the doctors noticed a lot of cases when patients have to institute changes in severe or even just the disease but the disease progresses rapidly. It is also the reason why many hospitalized children will just have to breathe oxygen.http://www.tienphong.vn/Khoe-Dep/500...m-phoi-la.html

[Treyfish]

Re: Pregnant women infected with pneumonia "strange" not to find out the root cause

Thursday, May 20, 2010

Patients 'weird' life-threatening maternal


(24h) - A disease pneumonia 'weird' has invaded the body of the woman. The doctors have made urgent recommendations.
Northern emerging some cases pneumonia "weird" in pregnant women.



Xoan patient care in preventing negative pressure T.U. Tropical Disease Hospital

She called the nurse "Xoan ơi, Dong Thi Xoan patients (19 years old in Haiphong) quietly opened his eyes, looked to the side with the call. Few today, the province has more Xoan patients, blood pressure, heart rate remained stable, but pneumonia is not much progress. Dong Thi Xoan is one of three pregnant women with pneumonia not find the cause in Tropical Disease Hospital T.U.

Tilt the virus causes

Intermediate Doctor Nguyen, associate dean positive treatment of tropical disease hospital in central, lead us to negative pressure room treatment, for patients with dangerous infectious diseases or unknown causes.

Dong Thi Xoan patient is pregnant 24 weeks old, eyes closed and their is a pile on the backs of wires.

Patients after 5-5 day husband, suddenly Xoan high fever, a few days at home not feeling better, the house was put into the provincial hospital. In the provinces a day, that situation does not reduce dyspnea, but also tends to increase, doctors have to transfer patients T.U. Tropical Disease Hospital

Dr. Grant, Ms. Xoan is one of three pregnant women causes of pneumonia are not treated in this hospital. All three patients were hospitalized for pregnancy, which she Yung in Soc Son, Hanoi is 34 weeks pregnant, was admitted to hospital as manifested high fever, severe pneumonia progresses rapidly.

Patients who are pregnant so the doctor is limited only by the X-ray concerns affected the fetus, so the diagnosis quite difficult. All three patients were found to take transplant bacterial swabs and PCR tests to determine the root cause, but results have not discovered the disease-causing bacteria or viruses.

"With one in three patients, we are inclined to choke suspected pneumonia. We have the health of patients follow their good progress. The remaining two patients are twisted and My Linh, viral pneumonia ability higher. There are a number of test cases not find the cause of patients hospitalized due to late departure from the time of disease "- the doctor supply evaluation.

Caution pregnant women with fever

Doctors said the patient level Yung hospitalized two weeks ago, when the fetus at 34 weeks of pregnancy, the hospital held more weeks, she was a premature baby were taken to hospitals and pediatric care Medicine is also stable.

Dr. Grant, if pregnant women 34 weeks premature in return, the risk to the baby will be very high. But fortunately the baby was kept an extra week in the womb, during which time doctors have used drugs to support her lungs mature faster, better help your child when born.

Do not find the root cause for all three patients, the treatment is indicated based on professional experience, the origin is predicted by bacteria or viruses, and specific bacteria, viruses do not cause disease clear.

There Surgeons Tropical Disease Hospital has moved three swabs of patients with this unique about Central Institute of Hygiene and Epidemiology review.

Doctors recommend that pregnant women should level carefully to meet situations such as high fever, cough, choke ... during pregnancy. Some diseases occur in patients with severe manifestations of pregnancy often than normal, treatment is more complex. So, in addition to wellness note, pregnant women need a doctor soon if there are abnormal health.http://www32.24h.com.vn/tin-tuc-tron...46a298423.html

[Sally Furniss]

Re: Pregnant women infected with pneumonia "strange" not to find out the root cause

Three pregnant women have strange pneumonia in Hanoi
RFA-20-05-2010

Tropical central hospital in Hanoi being treated for three patients, pregnant women are getting stranger and pneumonia every test result is not clear.

According to doctors, patients are hospitalized in a state of severe respiratory failure, two lung injury, high risk of death. All three patients with late admission test for the virus so difficult. This is the first of those cases being treated for severe pneumonia but have not found the root cause.

Press also said, erratic weather in recent days has caused the number of children hospitalized for respiratory tract infections increased quite high, most children aged 3 to 5 months old

http://www.rfa.org/vietnamese/VietnameseNews/vietnamnews/Three-pregnant-patients-having-a-typical-pneumonia-05202010113822.html

[alert]

Re: Pregnant women infected with pneumonia "strange" not to find out the root cause

Sounds a lot like this case from China in the past month, too.

http://www.flutrackers.com/forum/showthread.php?t=145544

But there is also mention now of late testing in the Vietnam cases, which would certainly explain all the negatives.

[Sally Furniss]

Re: Pregnant women infected with pneumonia "strange" not to find out the root cause

Lung disease is to attack pregnant women
Labor Day 116 of 24/05/2010 Updated: 8:34 AM, 24/05/2010
Dong Thi Xoan patients being treated in negative pressure isolation rooms. Photo: Q.D.
(Labor) - In the past week, QG Infectious Diseases Hospital (Hanoi), 3 patients received symptomatic pneumonia strange, all three women are pregnant. After 1 week of treatment, the doctors could not diagnose the exact causes disease.

By day 23.5, was lucky that all three men are already out of danger dramatic, positive progression of treatment. Nguyen Thi My Linh (22 years old - in the district of Soc Son) was 34 weeks pregnant, was comatose when admitted to hospital, fever, damage to lung ventilation. Doctors (BS), she was diagnosed with severe pneumonia due to acute respiratory failure progression, and prognosis is difficult to keep the pregnancy by the ability to think big and pregnant miscarriage more likely.

Ms Dong Thi Xoan (19 years old - in Hai Phong) are pregnant at week 24. Upon admission, her fever and respiratory failure. Initially, her doctors diagnosed severe pneumonia due to acute respiratory failure progression. However, the origin can not be determined. She had Melia azedarach ventilator and treated in isolation rooms. Similar case Tuesday.

According to Dr Intermediate, said: "All three patients had suffered multiple organ meats, two white lungs, lowering blood pressure. Through tests showed that they were blood oxygen deficiency. If the diagnosis of the disease that three pregnant women suffer from is right - severe pneumonia due to acute respiratory failure progression (ARDS) is the world's medical literature, these patients have mortality rates up to 30-60% .

But many times and have experience treating patients with severe pneumonia success, but this is the first Hospital of Infectious Diseases QG does not find out the root cause of the pneumonia patients. Treatment must proceed slowly, exploring effective.
Duy Quang

http://www.laodong.com.vn/Home/Benh-phoi-la-tan-cong-phu-nu-mang-thai/20105/185609.laodong

[alert]

Re: Pregnant women infected with pneumonia "strange" not to find out the root cause

This is a ProMED MBDS posting, summarizing what we know.

http://promedmail.org/pls/apex/f?p=2400:1001:603759482659298::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1040,82877

Archive Number 20100524.1715
Published Date 24-MAY-2010
Subject PRO/MBDS> Undiagnosed respiratory disease - Viet Nam: RFI

UNDIAGNOSED RESPIRATORY DISEASE - VIET NAM: REQUEST FOR INFORMATION
************************************************** *****************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Sat 22 May 2010
Source: Sai Gon Giai Phong (SGGP) Daily [edited]
<http://www.saigon-gpdaily.com.vn/Health/2010/5/82293/>


Several strange dangerous diseases have attacked people, adding the
list of diseases like influenza, dengue fever, diarrhea in the
scorching hot weather in the country.

Nguyen Trung Cap, a doctor of the National Hospital of Tropical
Diseases in Hanoi, said there were 3 pregnant women suffering from a
rare pneumonia. The pregnant patients from the northern locals of
Hanoi, Hai Duong, and Hai Phong were taken to the hospital in serious
condition, breathing failure, damaged lung, and low blood pressure.
They must use breathing machines. Doctors couldn't find the cause
despite conducting many tests.

Doctors have quarantined the 3 patients and provided intensive
treatment. Their efforts have been rewarded [and the 3] patients
[are] in stable condition.

Moreover, a 22 year old [woman] on her 34th week of pregnancy gave
birth to a baby weighing 1.7 kg. The baby is in a neonatal intensive
care unit at the National Children Hospital.

[Byline: Q Lap, trans. Ng. Nam]

--
Communicated by:
PRO/MBDS
<promed-mbds@promedmail.org>

[The newswire above reports 3 cases admitted to the central hospital
of tropical diseases in Viet Nam with severe respiratory symptoms.
After treated in intensive care unit, all of them are in stable
condition. The hospital could not identify the etiologic agents in
these 3 cases, which are pregnant women from 3 different provinces.
It seems that these are individual cases.

PRO/MBDS would highly appreciate any further epidemiological
information of these undiagnosed cases.

For a map of Viet Nam with provinces, see
<http://en.wikipedia.org/wiki/File:VietnameseProvincesMap.png>. The
interactive HealthMap/ProMED-mail map with direct links to other
outbreaks in Viet Nam and surrounding countries reported on by
ProMED-mail and PRO/MBDS can be accessed at
<http://healthmap.org/r/008c>. - Mod.QCN]