A fatal case of Areco hospital
It was an intensive care nurse. He had traveled to the United States, where he could have been infected by a variety of influenza A prevalent there. Another woman is in serious condition. Since patients were identified, there were no new cases.
By Peter Lipcovich
He died yesterday of women affected by a virus in Carmen de Areco. She was a nurse working in the intensive care unit of the hospital in that locality. Another patient is "in serious condition" in intensive care in La Plata, while nine others were discharged. All were linked-as workers, patients or relatives of patients-service hospital with that of Carmen de Areco. The woman who died yesterday had traveled to the United States: there may have been infected with a variety of flu prevalent in the Northern Hemisphere and, on returning, could have been the "index case" from which others were infected. Anyway, the influenza virus was isolated in only four of the patients, studies continue to detect other germs. A specialist explained to this newspaper that "when a patient dies after falling ill with flu, not for this virus, but by simple, often common germs are fatal causes like diabetes, advanced age or smoking." In any case, since, for more than ten days, the patients were found and measures were taken to prevent the spread of the virus, no new cases.
The deceased patient named Andrea Gordillo and was 39 years old. Since 28 January, was hospitalized in intensive care at the Hospital of La Plata Rossi. According to sources close to the area of health, women "had smoking history." The Ministry of Health of Buenos Aires stated that "the other nurse (intensive care service at the hospital in Carmen de Areco) Rossi admitted to the delicate remains in intensive care, with mechanical ventilation. Other Carmen de Areco patients who required hospitalization for having contracted a respiratory virus were discharged. "
Luis Crovetto, director of primary care at the Ministry of Health of Buenos Aires, this newspaper warned that "it concludes epidemiological research and infectious diseases specialist, will issue no judgment about which germ caused the infection." Samples of infected patients are investigated in Malbrán Institute-Ministry of Health of the Nation, and "the results will be interpreted by the committee that convened epidemiologists and infectious disease." On the assumption that the deceased patient was infected in the United States, where he had traveled little before, "is a very important, but the commission has not been issued yet," said Crovetto.
Jaime Lazovsky-Undersecretary of Foreign Health and Research, Ministry of Health of the Nation-explained to this newspaper that "the swine flu virus was detected in only four of the patients." In fact, the first analyzes were negative and the virus could be detected only by a very special and sensitive technique called "conventional PCR influenza A generic". There were meetings of experts to try to explain the fact that the virus has not been detected with the most common, but still no conclusion. Moreover, the technique only requires that the virus is influenza A, but not of what variety it is, which would determine whether a variety is prevalent in the U.S. this season. Meanwhile, "investigates the possibility of antibodies against other viruses, bacteria or fungi-Lazovsky-added: the measurements were made last week but should be repeated two to four weeks."
Alcides Troncoso professor at the Department of Infectious Diseases, Faculty of Medicine in the academic unit UBA hospital-Muñiz, Página/12 consulted, said that "in all cases of flu deaths calls, actually the death complication is bacterial. Thus, mortality from influenza A (H1N1) was very high in the pandemic of 1918, when there were no antibiotics and mechanical ventilators. After pandemics were caused by other strains of the virus: the A (H2N2) or A (H3N2). The 2009 pandemic was again virus A (H1N1) but with much lower mortality than in 1918. "
The infectious noted that, "generally, patients who die in relation to the flu virus had some pre-existing risk factors: heart disease, diabetes, obesity, smoking status, pregnancy, age over 50 years. The seriousness of the case usually depends on the 'ground', the previous state, and of course the person has been vaccinated against the flu or not. Most commonly, these patients have been superinfected with a common germ, often a bacterium, the previous state even makes appropriate antibiotics for bacteria that do not reach. "
Troncoso said that "in cases of Carmen de Areco, assuming that they originated in a person who traveled to the United States, it is often noted that to happen. And, by the information available, all patients have been in contact with one infected person: no epidemic, not even 'microepidemic', which requires multiple sources of infection. Anyway, it is best not get the flu, since one does not know which side of the statistic will be: mild or serious complication. The flu is easily spread by inhalation or by putting your hand to your face after touching objects contaminated with the virus: it is preferable that the risk groups are vaccinated, and not forgetting precautions like frequent hand washing: Clean hands save life. "