Clinical Study

Influenza A/H1N1 Severe Pneumonia: Novel Morphocytological Findings in Bronchoalveolar Lavage

Table 1

Demographics, comorbidities, severity on admission, clinical course, microbiological isolations, and outcome.

ā€‰Patient 1Patient 2Patient 3

Age514324
GenderMaleFemaleMale
BMI273224
ImmunosuppressionNoNoNo
ComorbiditiesGoutHypothyroidism, depression, chronic headacheNone
SOFA score on admission646
CURB-65 score on admission012
Hospital day when MV was started3rd2nd2nd
Hospital day when ECMO was started7th2nd4th
Length of ECMO (days)202615
Hospital day when influenza virus assay was performed and oseltamivir started3rd2nd1st
Length of oseltamivir therapy (days)13930
Nosocomial pathogens isolatedC. parapsilosis on throat specimen and S. epidermidis on BASP. aeruginosa MDR, C. albicans, C. glabrata, and C. parapsilosis on BASP. aeruginosa MDR, Flavobacterium, and C. indologenes on BAS
LP and SP urinary antigensNegativeNegativeNegative
CP, MP, and LP IgM and IgGNegativeNegativeNegative
OutcomeAliveAliveAlive

MV: mechanical ventilation; ECMO: extracorporeal membrane oxygenation; LP: L. pneumophila; SP: S. pneumoniae; CP: C. pneumoniae; MP: M. pneumoniae; BAS: bronchial aspirate; MDR: multidrug resistant (used for pathogens resistant to at least three drugs from different antibiotic categories).