Re: Laboratory Diagnosis and Epidemiology of Avian Influenza A (H7N9) Virus Infection in Humans in Nanchang City, China
I query the timeline for case 3 (80M) and case 4 (31F)!
Fig. 1.Timeline of laboratory-confirmed influenza A (H7N9) cases in Nanchang City, China, April–May 201
https://www.jstage.jst.go.jp/article/yoken/66/6/66_558/_pdf
I think they got the recovery dates backwords!
Here is two press releases from Jiangxi Provincial Health Department that supports my query!
------Case 3
Jiangxi case of human infection of H7N9 avian influenza patients discharged from hospital
Jiangxi Provincial Health Department
www.jxwst.gov.cn 2013 08 Source: Office of the Office
May 8, Nanchang infected with H7N9 bird flu Xiong cured, Jiangxi first case of human infection of H7N9 avian influenza patients with rehabilitation.
80-year-old patient Xiong, the diagnostic man of the Expert Group on April 28 confirmed cases of the H7N9 avian influenza infection. Into the First Affiliated Hospital of Nanchang University hospitalization, medical experts are positive, scientific, effective treatment, his condition is improving day by day, the normal body temperature of patients with stable vital signs, clinical symptoms, repeatedly were negative review of the H7N9 avian influenza virus nucleic acid. May 7, the Provincial Expert Group expert consultation, the patients meet the discharge standards developed by the National Health and Family Planning Commission grant discharged.
Patients suffering from coronary heart disease, history of atrial fibrillation for more than 20 years, the hospital remind patients after discharge, pay particular attention to the observation and treatment of the underlying disease.
Jiangxi Provincial Health Department
http://www.jxwst.gov.cn/wsyw/201305/t20130508_266557.htm
------Case 4
Jiangxi Provincial Health Department, Jiangxi case of human infection of H7N9 avian influenza patients cured 13 May 2013
Jiangxi Provincial Health Department
www.jxwst.gov.cn 2013 13 Source: Office of the Office
May 13, Jiangxi people infected with H7N9 bird flu Xu cured, Jiangxi two cases of human infection of H7N9 avian influenza patients with rehabilitation.
Patients, 31 years old, due to sustained high fever, cough, and chest tightness associated with shortness of breath and other symptoms, hospitalization on April 27 to the First Affiliated Hospital of Nanchang University, April 28 Group of Experts diagnosis of human infection of H7N9 avian flu in cases diagnosed as severe pneumonia, respiratory failure.
Patients admitted to hospital in critical condition, breathing more rapid decline in oxygen saturation, and respiratory distress syndrome. The provincial medical treatment expert group once again organize consultation, immediate implementation of endotracheal intubation and treatment, members of the Group of Experts and doctors on duty 24 hours, close observation, timely adjustment of ventilator parameters. Patients during disease progression has three times by experts timely consultation and rescue, adjust the treatment plan, the condition gradually improved stability.
May 6 patients extubated, nasal oxygen catheter, after close observation, oxygen saturation and vital signs were stable.
May 13, after repeated patient specimens of human infection with the H7N9 avian influenza virus nucleic acid detection were negative. The patient's vital signs stable, there is no obvious discomfort, eating and sleeping properly. By provincial expert consultation, the patients met the discharge criteria developed by the National Health and Family Planning Commission, shall be permitted for discharge.
At present, Jiangxi there are three cases of human infection of H7N9 avian influenza patients in the hospital active treatment.
http://www.jxwst.gov.cn/wsyw/201305/t20130513_266832.htm
I find it unusual that case 4, the 31F was extubated on the 6-May-13 and then soon afterwords met discharge requirements "recovery" on the 8-May-13 as describe in Zhou and others et al. 2013
*Corresponding author: Mailing address: Nanchang Center
for Disease Control and Prevention, No. 833, Lijing Road,
Honggutan District, Nanchang City, Jiangxi Province
330038, China. Tel: ＋86-791-86363255, Fax: ＋86-791-
86363255, E-mail: nccdcchy＠126.com.
FluTrackers - View Single Post - FluTrackers 2013 Human Case List of Confirmed and Highly Suspected/Probable Influenza A(H7N9) Cases
http://www.flutrackers.com/forum/showpost.php?p=489904&postcount=1
Cases 123 and 124.
