Emily
Editor, Senior Moderator
Re: Girl died from hemorrhagic pneumonia
Re: Girl died from hemorrhagic pneumonia
Good observation about the yellow fever testing. That does support a heparin-like bleeding problem. I hope we don't have bad heparin in circulation again. Something unusual happened, and it can even with the best of care. I was wondering about the swollen glands mentioned as part of the initial symptoms. When I searched for 'swollen glands', 'fever', and 'pediatric', I came up with an article about the rheumatic fever resurgence:
(Dates back to 2000, though.)
http://www.uihealthcare.com/topics/medicaldepartments/pediatrics/rheumaticfever/index.html
But that follows strep throat and a sore or reddened throat isn't mentioned in this case. I still wonder about this being the flu and found this:
http://journals.lww.com/amjmedsci/A...arotitis__A_Case_from_the_2004_to_2005.3.aspx
So it sounds like there can be rare presentations of flu with swollen glands.
Re: Girl died from hemorrhagic pneumonia
Nice find. I suspected that since they had tested for yellow fever, they were probably seeing hemorrhages in more than just the lungs. Heparin would explain that. The article also suggest that the bacteria found in the girl's bloodstream were hospital-acquired, possibly as a result of ECMO, and not the original cause of her illness.
Good observation about the yellow fever testing. That does support a heparin-like bleeding problem. I hope we don't have bad heparin in circulation again. Something unusual happened, and it can even with the best of care. I was wondering about the swollen glands mentioned as part of the initial symptoms. When I searched for 'swollen glands', 'fever', and 'pediatric', I came up with an article about the rheumatic fever resurgence:
(Dates back to 2000, though.)
http://www.uihealthcare.com/topics/medicaldepartments/pediatrics/rheumaticfever/index.html
But that follows strep throat and a sore or reddened throat isn't mentioned in this case. I still wonder about this being the flu and found this:
http://journals.lww.com/amjmedsci/A...arotitis__A_Case_from_the_2004_to_2005.3.aspx
American Journal of the Medical Sciences:
April 2007 - Volume 333 - Issue 4 - pp 215-217
doi: 10.1097/MAJ.0b013e31803b92c4
Case Reports
Influenza Parotitis: A Case from the 2004 to 2005 Vaccine Shortage
Battle, Steven DO, MPH; Laudenbach, Joel DMD; Maguire, James H. MD
We report a case of acute parotitis due to influenza A in which, unlike other published cases, the diagnosis was confirmed by demonstration of subtyped influenza A, serological evidence of mumps immunity, and full recovery without antibiotic treatment. In the United States, acute infectious parotitis was historically caused primarily by symptomatic paramyxovirus (mumps) infections, but because of the near-universal administration of the measles, mumps and rubella vaccine, other infectious and noninfectious etiologies now predominate. We discuss the differential diagnosis and therapeutic and public health considerations of parotitis and influenza. Due to time-sensitive pharmacologic management and possibly far-reaching public health issues, providers should be aware of atypical influenza presentations, such as parotitis.
So it sounds like there can be rare presentations of flu with swollen glands.