South Korea - Patients reportedly with "mysterious" respiratory illness - 28 fatalities reported - exposure to toxic humidifier chemicals confirmed

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Re: South Korea - 8 patients reportedly with "mysterious" pneumonia - 7 are pregnant or recently delivered mothers

http://www.sciencetv.kr/program/program_view.php?s_mcd=0184&s_hcd=01&key=201105091023518763

Unidentified viral pneumonia caused many health officials investigating after ...
[2011-05-09 10:23:52] [2011-05-09 10:23:52] 목록 | 프린트 List | Print
[앵커멘트] [Report]

. Patients with viral pneumonia of unidentified balsaenghae health officials recently focused on the investigation has moved.

. Only one or two people per year are not reported is a rare disease, recent pregnancy a Creative Commons License 6 patients, including five people who encountered.

김잔디 기자가 보도합니다. Gimjandi news reports.

[리포트] [Report]

Has been reported in one or two people do not know the identity of acute viral pneumonia one month recently encountered a new six others.

. These are the first flu symptoms such as cough and fever, but eventually found a local hospital with breathing problems such as lung fibrosis, pneumonia deteriorated to a large hospital in Seoul has been moved.

Of these, 5 patients of the 20-30 women after childbirth, the remaining one in 40 men.

Seoul and Gyeonggi, Chungcheong, Guangzhou and infected areas may vary.

One of them recently moved to the state hojeondwae general ward, but the remaining 5 patients without relying on an artificial lung ventilator can stay in the ICU.

In this case, one or two students reported that often in such a short period, but the majority occurred at the same time it is first.

Centers for Disease Control epidemiologist send the blood samples of patients and have embarked on a virus scan.

But nationwide, a surge in patients with pneumonia and said that there was no evidence.

[Transcription: yangbyeongguk, Director of Center for Disease Control Infectious Disease Management]

"(Pneumonia) rather than a national phenomenon that is identified. Just at particular times of 5-6 people are concentrated in these parts is to check which virus samples."

Centers for Disease Control of the virus this week, saying the result is likely to result in fever, cough and cold symptoms, not as neglected when looking for the nearest medical facility for medical urged to follow faithfully.

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Re: South Korea - 8 patients reportedly with "mysterious" pneumonia - 7 are pregnant or recently delivered mothers

A 50-year old man was not on the list of original patients (the only male was 40), so this would be a new one....

Update: Post #34 below claims this one, among others, is a hoax. The link also appears to be an aggregator, not the perpetrator of the hoax.

http://www.korea.kr/newsWeb/pages/brief/categoryNews2/view.do?newsDataId=148711865&category_id=fact&section_id=fact&metaId=spec1_main_news&pWise=main12

Centers for Disease Control in 13 days "geupseongganjilseong pneumonia deaths occur each year, and in all age groups, pregnant women, patients with severe pneumonia not related," he said.

Centers for Disease Control in the 12th, MBC and SBS, "50 men killed. Unknown etiology of acute pneumonia, the risk of transmission interfamily "headline in the press about this, as explained.

Especially in familial cases of acute interstitial pneumonia, which has already been reported in some cases, killed 50 [year-old?] men who adenovirus was not detected in other pathogens.

Centers for Disease Control and cooperation of its hospitals and related investigations, and for acute interstitial pneumonia in patients 'respiratory insufficiency of severe' cases through the nationwide collection and analysis are.

And in a university hospital medical ICU patients and their families about the hospital research committee composed of the investigation was undertaken.

Centers for Disease Control, as well as the cause of death due to acute interstitial pneumonia, the medical profession and academia for research and in-depth studies can be performed actively support the plan said.

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Re: South Korea - 8 patients reportedly with "mysterious" pneumonia - 7 are pregnant or recently delivered mothers

This is the incident in post #30. It's a different hospital, the four patients involved are children, the two that are still alive have come back positive for adenovirus and mycoplasma, and the time span is at least all of 2011, if not a full year.

This article does indicate a 20% surge in ARI cases, too.

http://m.joongdo.co.kr/jsp/article/article_view.jsp?pq=201105150164

'Unresolved pneumonia' in cough disappointed kids

Despite fears confirmed amplified region ... bijeonyeom pediatric patients seek hospital increased 20 percent


<기사입력 : 2011-05-15 15:07> <김민영 기자> "Article Date: 2011-05-15 15:07>" Kim Min reporter>

Pneumonia of unknown cause in the epidemic but that turned out to ahnimyi There is growing anxiety of pediatric patients.

. Some hospitals in pediatric patients with pneumonia from unknown causes occurred more than usual, while a surge pundits being closely watched because the state.

Chungnam National University Hospital for a year, there was no existing lung or heart disease, 4 patients with acute respiratory distress syndrome due to pneumonia and wounded were treated in the ICU.

. All four people can keep breathing with a respirator Extracorporeal membrane oxygenation therapy (ECMO) was performed, left without a dual two patients died of unknown causative organisms. 2 patients currently dependent on a ventilator in intensive care is.

The patients were being treated by adenovirus infection and mycoplasma bacteria detected condition.

Pneumonia of unknown etiology such a sudden appearance of the disease occur each year, but appears to have a few.

. The problem of pediatric patients with acute respiratory distress occurs, the steady and high disease mortality, but usually 1-2 people in an outbreak that had five months to 4 people forty-two balbyeonghae experts are watching closely the biological basis of disease.

. Professor of Pediatrics, Chungnam National University Hospital gilhongryang "caveat, but especially due to pneumonia, cause disease can worsen symptoms, so if you receive treatment at the nearest hospital as soon as it is important," he advised.

A local hospital official said, "In the past, the incidence of pneumonia of unknown etiology was more. Did not reveal the causative organism of the map, "said" as a vague uneasiness is not a sudden occurrence occurring to the taker, "he said.

. Chungnam National University Hospital in the hospital except for the year, the incidence of pediatric patients with pneumonia of unknown etiology is not the state.

But patients' anxiety has not placated.

Children's Hospital in the light seems cold jeungsangman have heart attack patients who are vat flock.

Members of the War Department in the usual and more than 20% of pneumonia patients who complained of cough, cold and flu symptoms surged.

Find local Children's Hospital of Air (31, Yuseong Noeun) "The children are usually familiar with the hospital to cough, even if the media does not match the unknown etiology of pneumonia in the hospital, a news report can not be found" and "Many mothers around University Hospital 's rubbed on a light when the children find the fact that such great anxiety, "he said.

J Pediatric Hospital, the hospital "through the media of patients shivering in the fact that anxiety," said "now is time to pneumonia patients than usual even though there are many seasons to worry about patients who are often heard voices. 2 years ago, the situation seems to symbolize the flu, "he said.

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Re: South Korea - 8 patients reportedly with &quot;mysterious&quot; pneumonia - 7 are pregnant or recently delivered mothers

This is a retraction in a Korean media source, reporting much of the above story as exaggerated.

In particular, the red text claims the report in post #32 really is a report of 50 deaths, not a 50-year-old man, but it is a hoax.

http://live.joinsmsn.com/news/article/article.asp?total_id=5485766&ctg=1205&tm=

'Unresolved pneumonia' exaggerated reports sorry

Unidentified pneumonia, highlighting the dangers of sensational coverage degrees are over.

The beginning of the incident were admitted to a university hospital intensive care unit patients with pneumonia, 7 out of 8 pregnant woman will be one of them was killed. 9 days reported by the media have begun to significantly is understandable.

The epidemic is spreading to new species or not you concerned that you might be years before the situation. However, reports of uneasiness that promotes clean up should be opened up by the 11th.

First, patients are not jipdanbalbyeonghan at the university hospital. Patients across the country went to the hospital as their symptoms worsen respiratory patients will be transferred to the hospital the most.

Second, the release of 11 Centers for Disease Control was one yen. Patients were initially encountered in the region do not belong at all subsequent patients has been confirmed that. No matter what the disease is contagious, which are extremely low, is evidence. Pathogen in patients with the presence of 20 species tested and only one person was only from the common cold viruses have been detected.

Nevertheless, several media "can be spread among family members", "the unidentified current 4 children hospitalized with acute lung disease is being treated as", "living in the metropolitan area of unknown etiology in 50 men died of acute lung "The expression has been reported to continue. Patients were more casualties still occur jungyiraneun story.

In fact, this misleading information, but dangerous as it is only to paved.

First, the original is a large hospital of pneumonia in ICU who was one of the leading causes of death. Inflammation of the lungs of patients with poor immunity occurs because a very good place. If the total deaths in 2009, 6300 people die of pneumonia.

Second, a very common etiology of pneumonia caused by domestic deda pneumonia of unknown cause, 30&#37; move on hold. The cause of pneumonia, the predominant bacteria and viruses, but fungi, parasites, or chemical burns or physical injury are also causes. Mucus comes out and tested and good common pathogens, but also it would be otherwise. Collect all the thousands of unresolved cases of pneumonia, will be the only thing. It is going to do what you will find the report.

셋째, 감염성 질병이 가족간에는 더 쉽게 전염될 수 있음은 물론이다. Third, infectious diseases may spread more easily between the two families are well. So what you mean? "It is still dangerous," unless the intention of the deterrence argument unfold is difficult to think otherwise.

To hype the risk of disease, we will be deep-rooted attitude of the media reports. Mad cow disease in beef, representative example of coverage. 'Holes in the brain of college' did not occur yet without one. Pneumonia associated with the behavior of some media outlets, too. The risk of selling to readers or viewers' attention is drawn to defend the business could not care?

A representative of the medical profession called "oil crisis chimaeseong anxiety" is renamed. The media recently reported several times to exaggerate has made people nervous was severely criticized by the experts. If not for the fact that dementia is not gonna forget this century.

The dominant view of medicine and public health authorities do not understand the scientific explanation of the racing press to repeat anything, "chimaeseong unstable oil crisis" that invites criticism and semyida.

The writer is Director of Media Content

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Re: South Korea - 8 patients reportedly with &quot;mysterious&quot; pneumonia - 7 are pregnant or recently delivered mothers

Very interesting. I am not aware of this phenomenon occurring in other countries (undiagnosed H1N1 excluded). This sounds like a lot, but if it has been going on for years, it might not be. Obviously, those cases cannot be (swine) H1N1, because there was no H1N1 before 2009.

Note that the other patients are not mentioned in this article at all, suggesting they really might not have had the same illness.

Perhaps this was just coincidence, as the ProMED moderator suggested...

http://english.donga.com/srv/service.php3?bicode=040000&biid=2011051736538

472 die of ‘pneumonia from unknown causes` from 2003-07


MAY 17, 2011 05:35
A study has found that 472 people in Korea died of lung interstitium due to unknown causes from 2003 to 2007.

The Korea Academy of Tuberculosis & Respiratory Diseases surveyed 2,186 patients diagnosed with interstitium due to unknown causes at hospitals nationwide from January 2003 to December 2007. The results of the study were published in the academy’s journal in 2009.


When classifying patients with interstitium, or those who suffer from inflammation in interstitial tissue, patients with idiopathic pulmonary fibrosis (IPF) numbered the most with 1,685 (77.1 percent).


Patients with acute interstitial pneumonitis (AIP), which the lung undergoes fast-paced fibrosis, numbered 24 (1.1 percent). AIP was also recently detected in a patient at a university hospital in Korea.


Notably, the mortality of patients with AIP was as high as 41.7 percent. Ten of the 24 patients died during the time of the survey.


In contrast, nine (37.5 percent) survived over the period of the study but researchers failed to trace the other five. The research team estimated that the three-year survival ratio of AIP patients was 57 percent.


Among the 1,685 patients with idiopathic pulmonary fibrosis, 415 (24.6 percent) died, and 682 (40.5 percent) survived. Researchers failed to trace the other 588 (34.9 percent), suggesting that this disease had the second-highest mortality rate.


Pneumonia due to unknown causes occurred among a wide range of age groups ranging from 11 to 94. The average age of the patients was 65. The number of male patients was almost twice that of women. All patients showed symptoms of difficulty breathing (67 percent), coughing (61 percent) and phlegm (32 percent).


Jeong Seong-hwan, professor of respiratory medicine at Gachon University of Medicine & Science in Incheon who participated in the survey, said, “The patient at a university hospital is believed to have suffered AIP. Additional research including on causes and therapies should be conducted after the disease is accurately defined.”

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Re: South Korea - 8 patients reportedly with &quot;mysterious&quot; pneumonia - 7 are pregnant or recently delivered mothers

If the red text is true, and not a translation error or a report of a false rumor, it would be a very bad sign, as it seems to indicate that the son of one of the fatal pneumonia cases is in the ICU with undiagnosed pneumonia as well. (But the timing might be bad - the mother was apparently hospitalized on April 11, and as of May 11, all contacts were reported as well.)

http://www.hkn24.com/news/articleView.html?idxno=72891&sc_sub_section_code=S2N17

Increase in patients with unexplained pulmonary disease, the government doing?


The government fears the people increased idle coping ... "The exact cause should be investigated"

2011년 05월 17일 (화) 11:53:57 Tues, May 17, 2011 11:53:57 배지영 기자 Baejiyoung reporter admin@hkn24.com admin@hkn24.com



Recent unconfirmed deaths from pneumonia are coming in the way of the government's complacent response of the people concerned are piling up.

Woninmo a pregnant woman to the last 10 days due to severe virus infections had died due to pneumonia, was reported not had news. (10, not had pneumonia, maternal mortality, estimated an unidentified viral infection references)

Soon the past 12 in anything, Chungnam National University Hospital, 5 year-old man admitted to the intensive care unit for children last one day receive the reports of death was broadcast. The cause of death in the last 10 days the mother died of acute pulmonary disease is similar to the symptoms.

Professor of Cardiovascular Surgery, Chungnam National University Hospital gangminung "The recent mothers and their woninmo suffering from acute lung disease among pediatric patients with similar symptoms occurred, but the reason they did not find," he said.

For such a portal site for news on a real-time search and 'pneumonia' was the word may be ranked for a few days.

'Acute interstitial lung disease, hardening of the lungs within 60 days of curing, and fibrosis progression are clearly the cause of death has not been identified is a disease. Why one person called swine lung.

Such as the increase in patients with acute pneumonia and insecurity of the people raised concerns about the spread is not too great.

mong these six health authorities in the past 11 days specimens collected from patients with acute interstitial pneumonia in patients with an infection that can cause said pathogens have been detected. In other words, you are concerned about infectious disease epidemic is not.

However, the existing acute interstitial lung disease appears in the lungs than the stiff curing 'fibrosis' symptoms did not progress rapidly determine why. Health authorities have not completed the investigation became known to the public from the spread bulangamman breaks down to.

An official of the Institute of Hospital Infection Control "include limited information is difficult to know how dangerous the disease," said, "health officials to identify and measure all the possibilities and risks that should not be neglected work," he said.

CDC is currently unknown to find the cause of acute pneumonia, genetic testing and animal experiments are in progress. As soon as possible solution to the situation with attribution are expected to come out. Republic of Korea Korea medical journal Health News -

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Re: South Korea - 8 patients reportedly with &quot;mysterious&quot; pneumonia - 7 are pregnant or recently delivered mothers

There is a chart at the link indicating the home provinces and onset dates of the various cases. Most of them have onset in early April (the earliest listed is April 1, and the two most recent are April 26 and May 6), and does indicate which one tested postive for adenovirus, and one that tested positive for coronavirus as well.

http://translate.google.com/translate?hl=en&langpair=ko&#37;7Cen&u=http://www.asiatoday.co.kr/news/view.asp%3Fseq%3D479344

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Re: South Korea - 8 patients reportedly with &quot;mysterious&quot; pneumonia - 7 are pregnant or recently delivered mothers

According to the above chart, Chungbuk is the province with the most cases (3), and one of them was discharged on May 4.

http://www.cbinews.co.kr/news/articleView.html?idxno=74214

'Unexplained pneumonia' anxiety spread Chungcheong

War occurs one person, three people, Chungbuk ... 'Zhongshan,' and rampant stand

2011년 05월 12일 (목) 06:58:35 Thurs May 12, 2011 06:58:35 충청타임즈 Cheong Times cbi@cbinews.co.kr cbi@cbinews.co.kr


Severe pneumonia of unknown etiology (acute interstitial pneumonia), Chungbuk only 3 of 8 patients with various people seolkkaji deda occurred while rampant anxiety of pregnant women has been increased.

According to the national Centers for Disease Control and 8 patients with acute interstitial pneumonia, 35 [year-old] patients died, including three pregnant women amid growing public interest has occurred in 3 patients in Chungbuk.

Patients with cough, phlegm, shortness of breath and show symptoms similar to typical pneumonia of unknown cause lung damage (pyeseomyuhwajeung) is known to progress rapidly.

. Chungbuk, including Seoul, Gyeonggi, Gwangju, Daejeon, such as hospitals, clinics and sought the residence of the ill deteriorating patients were admitted to hospital A in Seoul.

2 of 8 people, especially residents of Chungbuk treat diseases of unknown etiology was confirmed If you are a person discharged after treatment.

43-year-old male worker Chungbuk residence one day and one month of breath, cough, and symptoms show up in the hospital A, is currently hospitalized in the intensive care unit.

34-year-old pregnant woman also was hospitalized with symptoms similar to the last six days, the state hojeondwae last 10 days in the ICU were transferred to the general ward.

. Last month, 13 days pregnant 36-year-old coughing, shortness of breath, chest pain was admitted to hospital A was discharged last four days.

Cheongju bunpyeongdong Mr. A (35, female), and "several theories circulating on the Internet are concerned about having a baby with a friend," said "The government in Japan Fukushima nuclear power plant exploded in the past when the possibility of radioactive material from entering the peninsula but in the country announced that detected trace amounts of radioactive material released in bars the government can not entirely believe it, "he said.

Centers for Disease Control about it 11 days and through a press release, "Rapid local communities is difficult to see that trend," he went on the evolution of Zhongshan, stand.

After "six counts of specimens from patients with acute interstitial pneumonia swab tests on 20 kinds of pathogens, a result of an affair, except that five pathogens were isolated from the gun," he said.

Chungbukdo official "in Tokyo [translation error?] to identify whether there are additional variations of the patient," said "11 days so far not been confirmed that the suspected cases," he said.

Following "In the event of a patient suspected of taking immediate action will undertake epidemiological investigations," he said

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Re: South Korea - 8 patients reportedly with &quot;mysterious&quot; pneumonia - 7 are pregnant or recently delivered mothers

This article was published on May 16, 2011. There is a lot that seems to be wrong with this article, especially the timing. I have to wonder if this particular case is the result of some non-infectious environmental exposure.

http://www.kdaily.com/news/newsView.php?id=20110516800026

Unexplained pneumonia, can not turn away 'at risk'

Hardens the lungs, but the cause is unknown, the mysterious pneumonia that has been identified one after another.

For patients with acute pulmonary fibrosis quickly that leads to death within a month all Thompson recently been confirmed in large hospitals in Seoul.


The patient also died suddenly this problem, but without knowing the cause of long-term treatment in patients suffering pulmonary fibrosis also not quite so urgent for them to prepare countermeasures are pointing.

Living in Ansan, Gyeonggi A (57. Female), an unidentified pneumonia six years since 2005 are struggling.

As a nurse from an island in South Jeolla Province, was serving as director of Health Care to show symptoms of shortness of breath the first time he visited the hospital in November 2005 it.

. In a general hospital in Gwangju, high fever, difficulty breathing and could not determine the cause of a large hospital in Seoul, Mr. A was then taken immediately was admitted to the ICU.

. The hospital's medical staff and biopsy of the pathogen, but could not find a distinct etiology. Write pulse therapy to pulmonary fibrosis neutchun fortunate to slow down, but after one year in the state of the hospital treatment did not improve.

Since the weather gets cold symptoms have to be hospitalized seoneodalssik akhwahae the situation has been repeated every year.

A more difficult for them and her family a clear etiology is unknown because it has two special cases, such as a health insurance benefit was calculated.

Because of this, the medical bills of nearly 100 million won daeneura family life was shut down, A Sea of care to him, as well as my daughter has lost jobs.

Insult insult to injury as overdue loan interest lay in the auction house, after all A 's family and from shelters and hospitals had to live.

The etiology is not identified by a fine for not even officially recognized disaster is not received.

. A family's remote island where he is performing official duties as Director of Health Care foe got a bottle to officially apply for disaster, but would accept, also filed related administrative proceedings, but nearly two years at the end of the trial was eventually lose.

The reason for ruling that the cause of lung disease is not known because it was.

Like Mr. A in patients suffering from pneumonia of unknown cause in which it is estimated that thousands of people.

. Proceedings of Tuberculosis and Respiratory Diseases, according to the Committee in January 2003 between December 2007 of unknown causes in a hospital in the country 'idiopathic interstitial pneumonia (IIP)' the 2186 patients diagnosed with Cubs.

Of these, belonging to the chronic 'idiopathic pulmonary fibrosis (IPF)' Patients 1685 people (77.1&#37, respectively.

However, recent investigation of patients with acute interstitial pneumonia and infectious concerns, saying the authorities need not overly anxious to the point it showed the country the destination of the monitored media attention has focused limited to pregnant women.

Mr. A's daughter B (34) "The cause is unknown pneumonia that has claimed all of our family. In addition to our family life is based on the same bottle, not a few people know that collapsed, "said" The health authorities were prepared to actively go out a clear cause, or at least it's not possible because of an unidentified disease, the complement system, a family, I hope not to fall "he pleaded.

연합뉴스 News

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Re: South Korea - 8 patients reportedly with &quot;mysterious&quot; pneumonia - 7 are pregnant or recently delivered mothers

http://arirang.co.kr/News/News_View.asp?nseq=115999&code=Ne5&category=5

2009 Study Highlighted to Ease Fears over Unidentified Pneumonia Scare



Fears are now growing, after seven pregnant women were hospitalized for an unidentified pneumonia, with one of them dying last week, but a report from 2009 shows that an average of 94 people die from this type of pneumonia each year.
The Korean Academy of Tuberculosis and Respiratory Diseases studied more than 2-thousand patients with idiopathic interstitial pneumonia, or IIP, from 2003 to 2007, and a total of 472 did not survive.
Those with acute IIP, the same case of the recent outbreak, had a higher fatality rate with two out of every five dying, with the cause of death still unkown.
Common symptoms include coughing, difficulty in breathing, and excessive phlegm.

MAY 16, 2011

[sharon sanders]

Re: South Korea - 8 patients reportedly with &quot;mysterious&quot; pneumonia - 7 are pregnant or recently delivered mothers

My understanding of IIP is that there is usually an underlying chronic lung problem. I still think that in this particular situation, with the young women of child bearing age, this could be flu virus damage to lungs.

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Re: South Korea - 8 patients reportedly with &quot;mysterious&quot; pneumonia - 7 are pregnant or recently delivered mothers

My understanding of IIP is that there is usually an underlying chronic lung problem. I still think that in this particular situation, with the young women of child bearing age, this could be flu virus damage to lungs.

You might be right. Notably, while several different pathogens have been detected from various cases, none of them are influenza viruses. And if the onsets are in early April (or even earlier), the causative agents could be long gone by the time they test for it in mid-May, perhaps 5-6 weeks after onset.

[JimO]

Re: South Korea - 8 patients reportedly with &quot;mysterious&quot; pneumonia - 7 are pregnant or recently delivered mothers

Common symptoms include coughing, difficulty in breathing, and excessive phlegm.

Those sound a lot like flu symptoms to me. I wonder what percentage of undiagnosed cases of atypical pneumonia from prior years are pregnant or post-partum women?

That's what first caught my attention when this was reported.

[Ronan Kelly]

Re: South Korea - 8 patients reportedly with &quot;mysterious&quot; pneumonia - 7 are pregnant or recently delivered mothers

Woman dies from mystery virus
2011-05-26 19:18

...
One of seven hospitalized with unknown virus dies 16 days after first death


Another pregnant woman has died of acute pneumonia caused by an unidentified virus, the health authorities confirmed Thursday.

She was the second death among the seven pregnant women who had been hospitalized at a Seoul hospital in April for infection with the unknown virus.

The 36-year-old woman first visited the hospital on April 21 with early flu symptoms and breathing difficulty and was diagnosed with pulmonary fibrosis.

She died less than a month after hospitalization, like the nine-month pregnant woman who died on May 10.

...

http://www.koreaherald.com/national/Detail.jsp?newsMLId=20110526000729

[Shiloh]

Re: South Korea - 8 patients reportedly with &quot;mysterious&quot; pneumonia - 7 are pregnant or recently delivered mothers - 2nd fatality

Source: http://joongangdaily.joins.com/artic...sp?aid=2936770

Mystery virus claims 2nd victim
May 27, 2011

The second victim of a mystery virus that has infected eight patients from different parts of the country died yesterday.

According to the Korea Centers for Disease Control and Prevention, the virus, dubbed ?acute interstitial pneumonia? by health authorities, killed the first pregnant woman on May 10. The second pregnant woman died at 4 a.m. yesterday.

Seven of the eight patients are females who are pregnant or had recently given birth. One is an adult male in his 40s...