Scafati / Naples - Media report: 50 year old hospitalized with "very serious respiratory insufficiency" - tests pending - April 23, 2023 - H1N1 confirmed

[hawkeye]

Unconfirmed but suspected.
Note the transfer to three different hospitals as treatment needs increased.

Avian nightmare in Naples, 50-year-old patient hospitalized at Monaldi in very serious conditions

50-year-old, who arrived already intubated from the emergency room of the Nocera Inferiore hospital , was observed before being transferred to the Cotugno hospital and then, from there, to the Monaldi hospital.
…
…necessary to resort to particular life-saving technique called “ECMO” (ExtraCorporeal Membrane Oxygenation, or extracorporeal membrane oxygenation)available only at the Colli hospital in Naples
…
We do not exclude – Virno confirms – it may be dell’type H5N1 flu, or avian flu, given the particular aggressiveness. The patient contracted the virus in the family and had no previous pathologies.
….

https://www.breakinglatest.news/heal...-conditions-2/

[Pathfinder]

Translation Google

Suspected case of flu in Naples, Monaldi denies: It is not H5N1 but a flu strain already present and widespread

ildenaro.itApril 24, 202320

In the picture Monaldi hospital
A 50-year-old patient from the Scafati hospital with severe pneumonia and admitted to the Monaldi hospital in Ecmo (extracorporeal circulation) “has a positive swab for H1N1 flu. It is therefore not avian flu (H5N1), but an influenza strain already present and widespread". The Monaldi hospital in Naples clarifies it in a note. However, the preliminary blood chemistry tests revealed a significant immunosuppression (lack of IgG and IgM antibodies) for which further investigations are underway. The particular condition of immunosuppression of the patient therefore contributed to the severity of the clinical picture. The clinical conditions remain severe and the prognosis, at the moment, is reserved ".

https://www.ildenaro.it/sospetto-cas...nte-e-diffuso/

---------------------------------------

Suspected case of bird flu, Monaldi denies: "Common flu but immunosuppressed patient"

April 24, 2023 12:50

The latest updates on the story of the 50-year-old from Scafati hospitalized in the Neapolitan hospital

Suspected case of bird flu, Monaldi denies: "Common flu but immunosuppressed patient"

It's not bird flu. The alarm, launched this morning by some newspapers, which concerned the presence of a person suffering from avian flu (H5N1 virus) hospitalized in serious conditions at the Monaldi hospital in Naples, has returned.

The patient, a 50-year-old from the Scafati hospital, actually presents - they specify from the Neapolitan hospital - a "positive swab for H1N1 flu", a common flu strain compared to that of the more dangerous avian flu.

The man, who has the symptoms of "severe pneumonia", is hospitalized in ECMO, extracorporeal circulation, a procedure that guarantees blood oxygenation in patients with compromised respiratory functions. "From the preliminary blood chemistry tests - Monaldi adds - a significant immunosuppression emerged (lack of IgG and IgM antibodies) for which further investigations are underway". It is precisely this "particular condition of immunosuppression" that contributes to the current severity of his clinical picture. The prognosis is currently reserved.

Apparently the 50-year-old had no previous pathologies. For months there has been talk of a return of bird flu infections in humans: in Cambodia the death of a little girl was recently reported and several cases - although not in Italy - have been registered among mammals.

https://www.napolitoday.it/cronaca/aviaria-monaldi.html

--------------------------------------------

NEWS OF NAPLES

Hospitalized in Naples, it's not bird flu but another type of flu: how is the 50-year-old

Apr 24, 2023

The avian alert has returned to Naples : the 50-year-old patient from the Scafati hospital admitted to Monaldi is not infected. The hospital itself made it known, through a bulletin circulated to the press.

Avian alarm in Naples: the clarification from the Monaldi hospital
"The 50-year-old patient from the Scafati hospital with severe pneumonia and admitted to the Monaldi hospital on ECMO (extracorporeal circulation) has a positive swab for H1N1 flu, so it is not avian flu (H5N1) , but an influenza strain already present and widespread” – they clarify from the hospital.

“Preliminary blood chemistry tests, however, revealed a significant immunosuppression (lack of IgG and IgM antibodies) for which further investigations are underway. The particular condition of immunosuppression of the patient therefore contributed to the severity of the clinical picture. The clinical conditions remain severe and the prognosis, at the moment, is reserved “ - they conclude.

The patient is in serious clinical conditions but, as confirmed by Monaldi, is not affected by flu. The initial suspicion, therefore, has not found any confirmation in the results of the tests carried out which show the presence of an already present strain of influenza.

Meaning of bird flu
As announced by the National Institute of Health, avian influenza is a disease of birds caused by a type A influenza virus, which can be of low or highly pathogenic nature. Widespread throughout the world, avian flu is capable of infecting almost all bird species, albeit with very different manifestations, from the mildest ones to highly pathogenic and contagious forms that generate acute epidemics.

When caused by a highly pathogenic form, the disease develops suddenly, followed by rapid death in almost 100% of cases. The fear of a new pandemic, originating from a passage of the avian virus to humans, has set in motion a series of extraordinary prevention measures all over the world.

https://www.vesuviolive.it/ultime-no...apoli-monaldi/

[sharon sanders]

bump this

[Pathfinder]

Translation Google

Bird flu, negative swab for man hospitalized at Monaldi: it's H1N1

The patient's clinical conditions remain very critical and the prognosis is reserved
Admitted to Monaldi, it's not bird flu but H1N1

by Ettore Mautone
Tuesday 25 April 2023, 10:00

The 50-year-old patient, coming from the Scafati hospital and hospitalized two days ago in the intensive care unit of the Monaldi hospital with severe bilateral pneumonia, contracted a common flu, of the H1-N1 type. Certainly dangerous infection, especially in fragile patients, but certainly not as much as the dreaded Avian flu. Despite this, his clinical conditions remain very critical and the prognosis, at the moment, remains confidential. The man is connected to an Ecmo device, a machine which in extracorporeal circulation replaces the function of the lungs, deeply damaged and therefore currently unable to exchange oxygen and release carbon dioxide. In Campania, only the Monaldi resuscitation unit directed by Antonio Corcione, for the needs of cardiac surgery and the intensive unit of the nearby Federico II Polyclinic directed by Giuseppe Servillo, are equipped with this sophisticated technology.

FURTHER INFORMATION
«The patient - clarifies Giuseppe Fiorentino, medical director of the Colli company, pulmonologist and resuscitator, head of the sub-intensive unit that welcomed the largest number of Covid patients during the pandemic - presents a positive swab for H1N1 flu, a flu strain already present and widespread but which actually this year gave rise to a peak of pneumonia which was recorded in all emergency rooms in Campania and also in the rest of Italy. However, we have always seen cases in the past too, with severe clinical pictures especially in frail and elderly patients, cases overshadowed in recent years by the thousands of Covid-19 infections. What is certain, therefore, is that it is not a question of avian flu (H5N1), a hypothesis that would have posed significant problems also of an epidemiological nature...The patient remains at Monaldi in grave danger of life due to a virus that we are used to considering trivial, which is not: «H1N1, which appeared on the epidemic scene in 2009 - explains Corcione - is a subtype of influenza virus human that contains genes of avian, porcine and human viruses in a combination that was first observed in those years. New viruses are often the result of a reassortment of genes from other viruses (gene swap). The A/H1N1 virus is the result of a combination of two or three swine flu viruses and which contained genes of avian and human origin. It has always given rise to some more serious cases. The immune impairment that we have observed plays a role in this. Preliminary blood chemistry tests revealed a significant lack of IgG and IgM antibodies and further investigations are underway. It is not excluded that the virus itself could have induced it. We must always keep our guard up against emerging infectious diseases.
...

https://www.ilmattino.it/napoli/cronaca/influenza_aviaria_napoli_ultime_notizie_oggi-7364126.html?refresh_ce