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32 yo, from Hanoi, died

Commonground

Senior Moderator
[3rd patient to test negative, after testing postive, and dying inside of one week]

After 10 days of admission
, lunch date, 32-year-old male patient Hanoi, working in Tay Ninh province, has died at the Hospital for Tropical Diseases, HCMC. Test results before he showed flu H1N1.

According to doctors, patients expressed cough, fever, sore throat, self-purchased drugs from not drinking days, days in hospital October 23 Tay Ninh province with the results of diagnosing pneumonia. After a day of treatment no results, the patient was transferred to HCMC.

Hospital for Tropical Diseases, the patient remained in a state of high fever, respiratory distress, diagnostic images showed very severe lung damage. Patients immediately treated influenza, and respiratory support with positive drug and device. Test results on October 25 in determining positive for H1N1.

Five days later, re-examination of PCR results showed that patients no longer carry H1N1 virus, but the lung damage is too severe, his breathing gradually weak, American carried more and heavier, and death.

According to doctors, patients without chronic illness before influenza H1N1 infection.

Before this two-day deaths, a 38-year-old male patient, at Yen Ha ward, town Yen Vien, Hanoi is also related to deaths due to H1N1, the history of inflammatory glomerular disease, nephrotic syndrome ago year.

3 days before admission, patients with continuous high fever, coughing, chest, difficulty breathing, fatigue. 5 / 10, and his visit in the Institute of Infectious Diseases and Tropical Countries, pneumonia was diagnosed and treated immediately Tamiflu, antibiotics, tested H1N1 positive.

Lung inflammation process took more and more severe, the patient must be breathing machine, even 4 days after treatment, test results that were negative for the H1N1.

However, because treatment of local positive nephrotic syndrome, prolonged corticoid used, the resistance of all antibiotics, ventilator dependency, physical condition should think seriously exhausted to death on 31/10 patients death.

Therefore Vietnam has a total of 39 deaths related to H1N1.

Dr Tran Tinh Hien, deputy director of the Hospital for Tropical Diseases, based on this figure is about 20% of infected people do not die of chronic diseases, 80% of the rest are people in risk groups such as chronic illness calculated, elderly, children and especially mothers.

Also Dr. Hien, has 5 cases of H1N1 may be severe treatment at this hospital. All patients are people in the province, to the Hospital for Tropical Diseases in the condition was too severe.

Reviews the situation of dying from H1N1 flu, the doctor shows that death rate due to influenza virus is still low. However, he warned, if not detected and actively to the hospital early treatment, patients also become dangerous, easy death.

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Re: 32 yo, from Hanoi, died

...32-year-old male patient Hanoi, working in Tay Ninh province,...

On the evening of March 11, City Health Department report a case of death from influenza A/H1N1 treatment at the Tropical Disease BV 16 days of treatment. VAT patients name, born in 1977 - stay in town Lac Son, Hoa Binh, Hanoi, to visit relatives in Tay Ninh and the appearance of symptoms cough, chest pain, aches, shortness of breath.
As of October 24, the patient was transferred to BV Tropical Diseases. Although the treatment of active resuscitation and high doses of Tamiflu, but the situation is not impaired respiration and improve patient management to help set internal air breathing machine.

To October 29 (the 11th day of treatment), increased lung damage and PCR test results remain positive. Surprise that as of October 30, new PCR sample of patients have negative results for influenza A/H1N1, but conditions did not show signs of decline. To 13 hours for 15 days on March 11, BV Tropical Diseases informed patients died after 16 days treatment A/H1N1 influenza.

According to the BS, this is a case of influenza A/H1N1 infection not only extend the duration of treatment, but also a special case against the general rule (with negative results still die ). Previously, on October 31, a patient at Yen Vien Gia Lam, Hanoi and death from influenza A/H1N1.

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