Emerg Infect Dis. Severe Pneumonia Associated with Pandemic (H1N1) 2009 Outbreak, San Luis Potos?, Mexico

[Giuseppe]

Severe Pneumonia Associated with Pandemic (H1N1) 2009 Outbreak, San Luis Potos?, Mexico (Emerg Infect Dis., abstract, edited)

[Source Full Free PDF Document: LINK. EDITED.]

DOI: 10.3201/eid1601.090941
Suggested citation for this article: G?mez-G?mez A, Maga?a-Aquino M, Garc?a-Sep?lveda CA, Ochoa-P?rez UR, Falc?n-Escobedo R, Comas-Garc?a A, et al. Severe pneumonia associated with pandemic (H1N1) 2009 outbreak, San Luis Potos?, Mexico. Emerg Infect Dis. 2010 Jan; [Epub ahead of print]

Severe Pneumonia Associated with Pandemic (H1N1) 2009 Outbreak, San Luis Potos?, Mexico

Alejandro G?mez-G?mez, Martin Maga?a-Aquino, Christian A. Garc?a-Sep?lveda, Uciel R. Ochoa-P?rez, Reynaldo Falc?n-Escobedo, Andreu Comas-Garc?a, Saray Aranda-Romo, Hugo I. Contreras-Trevi?o, Paulina V. Jim?nez-Rico, Mario A. Banda-Barbosa, F?lix Dominguez-Paulin, J. Mario Bernal-Blanco, Luis F. P?rez-Gonz?lez, and Daniel E. Noyola

Author affiliations:
Hospital Central ?Dr. Ignacio Morones Prieto,? San Luis Potos?, Mexico (A. G?mez-G?mez, M. Maga?a-Aquino, R. Falc?n-Escobedo, J.M. Bernal-Blanco, L.F. P?rez-Gonz?lez); Universidad Aut?noma de San Luis Potos?, San Luis Potos? (A. G?mez-G?mez, M. Maga?a-Aquino, C.A. Garc?a-Sep?lveda, U.R. Ochoa-P?rez, R. Falc?n-Escobedo, A. Comas-Garc?a, S. Aranda-Romo, H.I. Contreras-Trevi?o, P.V. Jim?nez-Rico, M.A. Banda-Barbosa, F. Dominguez-Paulin, J. M. Bernal-Blanco, L.F. P?rez-Gonz?lez, D.E. Noyola); and Servicios de Salud del Estado de San Luis Potos?, San Luis Potos? (U.R. Ochoa-P?rez).


We describe the clinical characteristics and outcomes of adults hospitalized with pneumonia during the pandemic (H1N1) 2009 outbreak. Patients admitted to a general hospital in San Luis Potos?, Mexico, from April 10 through May 11, 2009, suspected to have influenza virus?associated pneumonia were evaluated. We identified 50 patients with suspected influenza pneumonia; the presence of influenza virus was confirmed in 18: 11 with pandemic (H1N1) 2009 virus, 5 with unsubtypeable influenza A virus, 1 with seasonal influenza A (H3N2) virus, and 1 in whom assay results for seasonal and pandemic (H1N1) 2009 viruses were positive. Eighteen patients were treated in the intensive care unit, and 10 died. During the pandemic (H1N1) 2009 outbreak, severe pneumonia developed in young adults who had no identifiable risk factors; early diagnosis and treatment of influenza virus infections may have a determinant role in outcome.

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[gsgs]

Re: Emerg Infect Dis. Severe Pneumonia Associated with Pandemic (H1N1) 2009 Outbreak, San Luis Potos?, Mexico

nothing about the sequences, which sequences belong to which patients.
We still don't know who had 4115 and 4487, the most original
****** viruses.
Were they from St.Louis Potoso, where the first case was confirmed in February in a baby ?
Apparantly Mexico doesn't want us to know.

The earlier published report from a hospital in Mexico City had the
ages,genders,dates and conditions of the patients.
Not so this one.

It would be interesting to study the early spread, the emergence of substrains
i.e. Cancun-strain (Cancun) and Northern strain (LaGloria) and how early spread
determines the course of a pandemic. Was this early spread almost random
or was the future spread in other continents already predetermined by those
early mutations ? Can we "control" a pandemic by especially fighting certain
substrains while letting others spread ?
While they do provide quite some information , Mexico is non-cooperative to
answer these special important questions.