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H1N1 influenza virus infection complicating a twin gestation: A case report

tetano

Editor, Senior Moderator
Mar 1, 2010
By: Jose F. Bestard, MD, Phuket Tantivit, MD, Spencer Kellogg, MD, FACOG
Contemporary OB/GYN



Influenza A virus is a type of ribonucleic acid (RNA), single-stranded, enveloped, orthomyxovirus that contains H and N surface glycoproteins. The virus generates new combinations of its surface glycoproteins continuously.1 Influenza A virus affects mammals and is transmitted through aerosol droplets and bodily fluids. The virus is a known cause of the "flu" and atypical pneumonia worldwide. The most common symptoms are fever with cough and/or sore throat. Recommendations for yearly vaccinations are well established. Pregnancy increases the risk for complications caused by influenza infection.

The Centers for Disease Control and Prevention (CDC) first identified cases of respiratory infections of the 2009 H1N1 influenza virus in the United States in April 2009.2 On July 11, the 2009 H1N1 influenza virus spread was considered pandemic. The World Health Organization (WHO) reported nearly 400,000 cases worldwide by October 11, 2009.3

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Influenza A continues to be a cause of yearly fatal morbidities and mortalities. The 2009 H1N1 influenza virus has continued this trend. LK showed the seriousness of the infection by her quick deterioration in pulmonary function. From August 30, 2009, to January 16, 2010, the CDC has documented 1,805 laboratory-confirmed influenza-associated deaths.6 The CDC has also confirmed 28 pregnancy-related deaths by the complications of H1N1 influenza virus.5 At present, the threat of H1N1 remains in the United States, as does the need for proactive patient education and immunization.

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