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Case Reports in Nephrology
Volume 2011 (2011), Article ID 636030, 3 pages
http://dx.doi.org/10.1155/2011/636030
Case Report

Novel Influenza A (H1N1/09) Virus Infection during Pregnancy in a Kidney Transplant Recipient

1Institut für Klinische Pharmakologie und Toxikologie, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany
2Kuratorium für Heimdialyse und Nierentransplantation Nierenzentrum Ulm, Erlenstrasse 40, 89081 Ulm, Germany
3Sektion Nephrologie, Abteilung Innere Medizin I, Universitätsklinikum, Albert-Einstein Allee 23, 89070 Ulm, Germany

Received 2 May 2011; Accepted 24 May 2011

Academic Editors: S. Brzosko, S. K. Ha, and S. Mir

Copyright © 2011 Lars Rothermund et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report the first case of a pregnant renal transplant patient with H1N1/09 infection. The woman showed a mild clinical course after diagnosis of H1N1/09 infection and therapy with oseltamivir ( 2 × 4 5  mg per day). After delivery by cesarean section, the neonate exhibited moderate respiratory and circulatory dysregulation, which spontaneously normalised a few days postpartum. In conclusion, rapid diagnosis of H1N1/09 and dose-adapted therapy with oseltamivir resulted in successful delivery of a healthy infant in our renal transplanted patient but emphasized the need for consequent vaccination strategies in pregnant transplant recipients for new influenza A pandemics in the future.