Presentation
Of note, diarrhea was present in 7 (70%) of 10 patients along with lower respiratory symptoms (9). [ncbi.nlm.nih.gov]
Entire Body System
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Fever
Abstract We report the first case of avian influenza in a patient with fever and diarrhea but no respiratory symptoms. [ncbi.nlm.nih.gov]
Jair Bolsonaro the ‘biggest threat’ Nigeria: 5 Lassa fever cases reported last week Marshall Islands dengue outbreak: One year later In the US, fewer people with stroke symptoms receiving care at hospitals during COVID-19 pandemic [outbreaknewstoday.com]
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Physician
In conclusion, physicians working in areas where H5N1 is endemic should be aware of unusual cases. A high index of suspicion will facilitate prompt diagnosis and proper management. Biography • Dr. [ncbi.nlm.nih.gov]
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Malaise
During the 1997 epidemic in Hong Kong, patients exhibited fever, headache, malaise, myalgia, sore throat, cough, and rhinitis (5,8). Although uncommon, conjunctivitis and gastrointestinal symptoms were also reported (5,8). [ncbi.nlm.nih.gov]
Respiratoric
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Cough
The preliminary clinical features of avian influenza H5N1 in the 2004 epidemic in Thailand included fever, cough, sore throat, rhinorrhea, myalgia, and shortness of breath (10). [ncbi.nlm.nih.gov]
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Sneezing
(%) (N 35) Age (median, range; y) 28 (23–34) Female sex 27 (77) Type of exposure Provided direct patient care 17 (48) Physical contact 19 (54) Talked face-to-face 3 (8) Worked within 1 m 33 (94) Recalled patient coughing and sneezing 2 (6) Suctioned [ncbi.nlm.nih.gov]
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Rhinitis
During the 1997 epidemic in Hong Kong, patients exhibited fever, headache, malaise, myalgia, sore throat, cough, and rhinitis (5,8). Although uncommon, conjunctivitis and gastrointestinal symptoms were also reported (5,8). [ncbi.nlm.nih.gov]
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Respiratory Distress
Avian influenza A virus (H7N7) associated with human conjunctivitis and a fatal case of acute respiratory distress syndrome. [ncbi.nlm.nih.gov]
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Aspiration
Nasopharnygeal aspirates were positive for influenza A H5 strain by two RT-PCR primers (Figure 2) and by real-time RT-PCR. [ncbi.nlm.nih.gov]
Gastrointestinal
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Nausea
At the referring hospital, she reported fever for 1 week, diarrhea, nausea, and vomiting, with no early respiratory symptoms. [ncbi.nlm.nih.gov]
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Vomiting
At the referring hospital, she reported fever for 1 week, diarrhea, nausea, and vomiting, with no early respiratory symptoms. [ncbi.nlm.nih.gov]
Musculoskeletal
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Myalgia
The preliminary clinical features of avian influenza H5N1 in the 2004 epidemic in Thailand included fever, cough, sore throat, rhinorrhea, myalgia, and shortness of breath (10). [ncbi.nlm.nih.gov]
Psychiatrical
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Suggestibility
VetMax Gold SIV Detection Kit* - SKU 4415200 Bioinformatics analysis of publically available sequences suggest an excellent match with current circulating H5N8 strains. [thermofisher.com]
Several reports suggested that rapid influenza tests, H5-specific RT-PCR, and real-time RT-PCR could aid a rapid diagnosis (1,2,11,13,14). [ncbi.nlm.nih.gov]
Neurologic
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Stroke
Jair Bolsonaro the ‘biggest threat’ Nigeria: 5 Lassa fever cases reported last week Marshall Islands dengue outbreak: One year later In the US, fewer people with stroke symptoms receiving care at hospitals during COVID-19 pandemic [outbreaknewstoday.com]
Workup
Microbiology
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Chlamydia
Three sets of blood cultures, sputum cultures, and serologic tests were negative for the following: Chlamydia by microimmunofluorescence, mycoplasma by microparticle agglutination assay, urine Legionella antigen by enzyme-linked immunosorbent assay (ELISA [ncbi.nlm.nih.gov]
Treatment
Female sex 27 (77) Type of exposure Provided direct patient care 17 (48) Physical contact 19 (54) Talked face-to-face 3 (8) Worked within 1 m 33 (94) Recalled patient coughing and sneezing 2 (6) Suctioned respiratory secretions or administered breathing treatment [ncbi.nlm.nih.gov]
Epidemiology
Data are limited on the epidemiologic characteristics, signs and symptoms, and outcomes of avian influenza H5N1 exposure in healthcare workers. [ncbi.nlm.nih.gov]
Prevention
His major research focus is in preventing and controlling nosocomial infections, with a secondary focus on investigating outbreaks and emerging infectious diseases. [ncbi.nlm.nih.gov]