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BMJ Case Reports 2013; doi:10.1136/bcr-2013-010216
CASE REPORT
Skin rash and subconjunctival haemorrhage in an adult with pandemic H1N1 influenza
Parvaiz A Koul1,
Umar H Khan2,
Tajamul Hussain Shah2,
Farhana Bagdadi2
+ Author Affiliations
1Department of Internal and Pulmonary Medicine, SheriKashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
2Department of Internal Medicine, SheriKashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
Correspondence to Dr Parvaiz A Koul, parvaizk@gmail.com
Summary
A young man presented with erythematous rash that appeared 3 days following upper respiratory symptoms and fever. Diffuse exanthematous rash was seen over whole body, most pronounced over the trunk. A subconjunctival haemorrhage also appeared in the left eye following incessant cough. Reverse transcription-PCR of the nasopharyngeal secretions revealed influenza A (2009 pandemic H1N1). The patient responded to oseltamivir therapy. Influenza should be considered in patients presenting with exanthematous skin rash.
CASE REPORT
Skin rash and subconjunctival haemorrhage in an adult with pandemic H1N1 influenza
Parvaiz A Koul1,
Umar H Khan2,
Tajamul Hussain Shah2,
Farhana Bagdadi2
+ Author Affiliations
1Department of Internal and Pulmonary Medicine, SheriKashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
2Department of Internal Medicine, SheriKashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
Correspondence to Dr Parvaiz A Koul, parvaizk@gmail.com
Summary
A young man presented with erythematous rash that appeared 3 days following upper respiratory symptoms and fever. Diffuse exanthematous rash was seen over whole body, most pronounced over the trunk. A subconjunctival haemorrhage also appeared in the left eye following incessant cough. Reverse transcription-PCR of the nasopharyngeal secretions revealed influenza A (2009 pandemic H1N1). The patient responded to oseltamivir therapy. Influenza should be considered in patients presenting with exanthematous skin rash.
