Translation error-H5N1/H1N1 Virus coinfection suspected -promed
Translation error-H5N1/H1N1 Virus coinfection suspected -promed
H5N1/H1N1 VIRUS CO-INFECTION - EGYPT: ex SAUDI ARABIA, SUSPECTED,
REQUEST FOR INFORMATION
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A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases
Date: Sun 30 Aug 2009
Source: AlMasry AlYoum [in Arabic trans. Hussain Ayoub, paraphrased
and edited]
A sample taken from a 28 year-old man who arrived at the port of
Safaga from Saudi Arabia after performing Umrah [pilgrimage] has
tested positive for [both] bird and swine flu [that is, presumably avian
influenza (H5N1) virus and pandemic (H1N1) 2009 virus infections]. He
was immediately detained and held in isolation in a hospital in
Hurghada.
Mohammad Rifai, director-general of preventative medicine, stated that
this case is the 3rd in 2 days. [The other 2 are a 35-year-old Italian
tourist also retained at the hospital in Hurghada and] another
pilgrim, 30 years old, who has been detained in Safaga Central
Hospital. Rifai pointed out that a sample from a 38-year-old citizen
has tested negative.
Another 2 cases have been detained in Mansoura fever hospital on
suspicion of similar illness.
5 cases, including 4 children, suspected of having contracted
"bird flu" infection [presumably avian influenza (H5N1) virus
infection] have been detained in Mansoura Chest hospital.
[Byline: Mohamed Soliman]
--
Communicated by:
ProMED-mail
[Does the director-general of preventative medicine mean this case is
the 3rd in 2 days of *dual* infection? Unless both *viruses* were
detected in the patient, not simply positive antibody results, this
would be inconclusive, since Egypt has reported cases of H5N1
throughout 2009, and this person may have had a mild infection before
leaving for Saudi Arabia. Saudi Arabia has reported 285 cases (no
deaths) of H1N1 in 2009 -- see last case count of 22 July in ProMED
ref. below -- but it is also possible that the Egyptian
pilgrim(s) could have caught H1N1 from a pilgrim from another
H1N1-infected country.- Mod.JW]
[If this report is confirmed it raises the prospect of the potential
evolution by genome subunit reassortment of a highly transmissible
influenza virus like the pandemic (H1N1) 2009 virus with the enhanced
virulence of the avian (H5N1) virus. Further information is awaited
confirmatory or not, by laboratory analysis, of the occurrence of dual
infection. - Mod.CP]
[Port Safaga, in the Red Sea Governorate (El Bahr El Ahmar), can be
located on the HealthMap/ProMED-mail interactive map of Egypt at
. - Sr.Tech.Ed.MJ]
[see also:
Avian influenza, human (111): Egypt, 84th & 85th cases, WHO 20090901.3079
Influenza pandemic (H1N1) 2009 (14): case count 20090722.2599
2008
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Avian influenza (24): Saudi Arabia, China (Tibet), Bangladesh 20080129.0373
........................................mpp/arn/cp/mj/jw
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