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Tran QTL, Phan PH, Bui LNH, Bui HTV, Hoang NTB, Tran DM, Trinh TT. Child Melioidosis Deaths Caused by Burkholderia pseudomallei-Contaminated Borehole Water, Vietnam, 2019. Emerg Infect Dis 2022; 28:1689-1693. [PMID: 35697339 PMCID: PMC9328891 DOI: 10.3201/eid2808.220113] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Within 8 months, 3 children from 1 family in northern Vietnam died from melioidosis. Burkholderia pseudomallei of the same sequence type, 541, was isolated from clinical samples, borehole water, and garden and rice field soil. Boreholes should be properly constructed and maintained to avoid B. pseudomallei contamination.
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Phan PH, Nguyen DT, Dao NH, Nguyen HTT, Vu AV, Hoang ST, Nguyen LV, Cao TV, Tran DM. Case Report: Successful Treatment of a Child With COVID-19 Reinfection-Induced Fulminant Myocarditis by Cytokine-Adsorbing oXiris® Hemofilter Continuous Veno-Venous Hemofiltration and Extracorporeal Membrane Oxygenation. Front Pediatr 2022; 10:946547. [PMID: 35903158 PMCID: PMC9315247 DOI: 10.3389/fped.2022.946547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Accepted: 06/15/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Indirect cardiomyocyte damage-related hyperinflammatory response is one of the key mechanisms in COVID-19-induced fulminant myocarditis. In addition to the clinical benefit of using cytokines absorption hemofiltration, the effectiveness of instituting veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support for cardiac compromise has been reported. However, current literature enunciates a paucity of available data on the effectiveness of these novel modalities. CASE PRESENTATION We reported a 9-year-old boy with recurrent COVID-19 infection-causing fulminant myocarditis, who was treated successfully by using novel modalities of oXiris ® hemofilter continuous venovenous hemofiltration (CVVH) and VA-ECMO. The patient made a full recovery without any sequelae. CONCLUSION We conclude that the novel highly-absorptive hemofilter CVVH and VA-ECMO may be effective treatment modalities in managing SARS-CoV-2-induced fulminant myocarditis. Our report highlights the need for further well-designed investigations to confirm this extrapolation.
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Affiliation(s)
- Phuc H Phan
- Pediatric COVID-19 Intensive Care Unit, Vietnam National Children's Hospital, Hanoi, Vietnam
| | - Dung T Nguyen
- Pediatric COVID-19 Intensive Care Unit, Vietnam National Children's Hospital, Hanoi, Vietnam
| | - Nam H Dao
- Pediatric COVID-19 Intensive Care Unit, Vietnam National Children's Hospital, Hanoi, Vietnam
| | - Ha T T Nguyen
- Pediatric COVID-19 Intensive Care Unit, Vietnam National Children's Hospital, Hanoi, Vietnam
| | - An V Vu
- Pediatric COVID-19 Intensive Care Unit, Vietnam National Children's Hospital, Hanoi, Vietnam
| | - Son T Hoang
- Cardiovascular Center, Vietnam National Children's Hospital, Hanoi, Vietnam
| | - Lam V Nguyen
- Pediatric COVID-19 Intensive Care Unit, Vietnam National Children's Hospital, Hanoi, Vietnam
| | - Tung V Cao
- Pediatric COVID-19 Intensive Care Unit, Vietnam National Children's Hospital, Hanoi, Vietnam
| | - Dien M Tran
- Pediatric COVID-19 Intensive Care Unit, Vietnam National Children's Hospital, Hanoi, Vietnam
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Le HT, Nguyen LV, Tran DM, Do HT, Tran HT, Le YT, Phan PH. The first infant case of COVID-19 acquired from a secondary transmission in Vietnam. Lancet Child Adolesc Health 2020; 4:405-406. [PMID: 32213326 PMCID: PMC7118689 DOI: 10.1016/s2352-4642(20)30091-2] [Citation(s) in RCA: 61] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Revised: 03/10/2020] [Accepted: 03/12/2020] [Indexed: 01/25/2023]
Affiliation(s)
- Hai T Le
- Emergency Department, Vietnam National Children's Hospital, Hanoi, Vietnam
| | - Lam V Nguyen
- Center for Pediatric Tropical Diseases, Vietnam National Children's Hospital, Hanoi, Vietnam
| | - Dien M Tran
- Intensive Care Unit, Vietnam National Children's Hospital, Hanoi, Vietnam
| | - Hai T Do
- Center for Pediatric Tropical Diseases, Vietnam National Children's Hospital, Hanoi, Vietnam
| | - Huong T Tran
- Center for Pediatric Tropical Diseases, Vietnam National Children's Hospital, Hanoi, Vietnam
| | - Yen T Le
- Center for Pediatric Tropical Diseases, Vietnam National Children's Hospital, Hanoi, Vietnam
| | - Phuc H Phan
- Intensive Care Unit, Vietnam National Children's Hospital, Hanoi, Vietnam.
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Affiliation(s)
- Srinivas Murthy
- Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada
| | | | - Ndidi Musa
- Department of Pediatrics, University of Washington, Seattle, WA, United States
| | | | - Phuc H Phan
- Medical Intensive Care Unit, Vietnam National Children's Hospital, Hanoi, Vietnam
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Le MTQ, Wertheim HFL, Nguyen HD, Taylor W, Hoang PVM, Vuong CD, Nguyen HLK, Nguyen HH, Nguyen TQ, Nguyen TV, Van TD, Ngoc BT, Bui TN, Nguyen BG, Nguyen LT, Luong ST, Phan PH, Pham HV, Nguyen T, Fox A, Nguyen CV, Do HQ, Crusat M, Farrar J, Nguyen HT, de Jong MD, Horby P. Influenza A H5N1 clade 2.3.4 virus with a different antiviral susceptibility profile replaced clade 1 virus in humans in northern Vietnam. PLoS One 2008; 3:e3339. [PMID: 18836532 PMCID: PMC2556101 DOI: 10.1371/journal.pone.0003339] [Citation(s) in RCA: 59] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2008] [Accepted: 08/19/2008] [Indexed: 12/16/2022] Open
Abstract
Background Prior to 2007, highly pathogenic avian influenza (HPAI) H5N1 viruses isolated from poultry and humans in Vietnam were consistently reported to be clade 1 viruses, susceptible to oseltamivir but resistant to amantadine. Here we describe the re-emergence of human HPAI H5N1 virus infections in Vietnam in 2007 and the characteristics of the isolated viruses. Methods and Findings Respiratory specimens from patients suspected to be infected with avian influenza in 2007 were screened by influenza and H5 subtype specific polymerase chain reaction. Isolated H5N1 strains were further characterized by genome sequencing and drug susceptibility testing. Eleven poultry outbreak isolates from 2007 were included in the sequence analysis. Eight patients, all of them from northern Vietnam, were diagnosed with H5N1 in 2007 and five of them died. Phylogenetic analysis of H5N1 viruses isolated from humans and poultry in 2007 showed that clade 2.3.4 H5N1 viruses replaced clade 1 viruses in northern Vietnam. Four human H5N1 strains had eight-fold reduced in-vitro susceptibility to oseltamivir as compared to clade 1 viruses. In two poultry isolates the I117V mutation was found in the neuraminidase gene, which is associated with reduced susceptibility to oseltamivir. No mutations in the M2 gene conferring amantadine resistance were found. Conclusion In 2007, H5N1 clade 2.3.4 viruses replaced clade 1 viruses in northern Vietnam and were susceptible to amantadine but showed reduced susceptibility to oseltamivir. Combination antiviral therapy with oseltamivir and amantadine for human cases in Vietnam is recommended.
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MESH Headings
- Adolescent
- Adult
- Amantadine/pharmacology
- Antiviral Agents/pharmacology
- Child
- Child, Preschool
- Disease Outbreaks
- Drug Resistance, Viral
- Female
- Geography
- Humans
- Influenza A Virus, H5N1 Subtype/classification
- Influenza A Virus, H5N1 Subtype/drug effects
- Influenza A Virus, H5N1 Subtype/genetics
- Influenza A Virus, H5N1 Subtype/isolation & purification
- Influenza A Virus, H5N1 Subtype/pathogenicity
- Influenza, Human/diagnosis
- Influenza, Human/epidemiology
- Influenza, Human/physiopathology
- Influenza, Human/virology
- Male
- Oseltamivir/pharmacology
- Phylogeny
- Retrospective Studies
- Vietnam/epidemiology
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Affiliation(s)
- Mai T. Q. Le
- National Institute of Hygiene and Epidemiology, Hanoi, Vietnam
| | - Heiman F. L. Wertheim
- Oxford University Clinical Research Unit, Hanoi, Vietnam
- Nuffield Department of Clinical Medicine, John Radcliffe Hospital, Oxford, United Kingdom
- * E-mail:
| | - Hien D. Nguyen
- National Institute for Infectious and Tropical Diseases, Hanoi, Vietnam
| | - Walter Taylor
- Oxford University Clinical Research Unit, Hanoi, Vietnam
- Nuffield Department of Clinical Medicine, John Radcliffe Hospital, Oxford, United Kingdom
| | | | - Cuong D. Vuong
- National Institute of Hygiene and Epidemiology, Hanoi, Vietnam
| | | | - Ha H. Nguyen
- National Institute for Infectious and Tropical Diseases, Hanoi, Vietnam
| | - Thai Q. Nguyen
- National Institute for Infectious and Tropical Diseases, Hanoi, Vietnam
| | - Trung V. Nguyen
- National Institute for Infectious and Tropical Diseases, Hanoi, Vietnam
| | - Trang D. Van
- National Institute for Infectious and Tropical Diseases, Hanoi, Vietnam
| | - Bich T. Ngoc
- Oxford University Clinical Research Unit, Hanoi, Vietnam
| | | | | | | | | | | | | | - Tung Nguyen
- National Center for Veterinary Diagnosis, Hanoi, Vietnam
| | - Annette Fox
- Oxford University Clinical Research Unit, Hanoi, Vietnam
- Nuffield Department of Clinical Medicine, John Radcliffe Hospital, Oxford, United Kingdom
| | - Cam V. Nguyen
- National Center for Veterinary Diagnosis, Hanoi, Vietnam
| | - Ha Q. Do
- Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam
- Nuffield Department of Clinical Medicine, John Radcliffe Hospital, Oxford, United Kingdom
| | - Martin Crusat
- Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam
- Nuffield Department of Clinical Medicine, John Radcliffe Hospital, Oxford, United Kingdom
| | - Jeremy Farrar
- Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam
- Nuffield Department of Clinical Medicine, John Radcliffe Hospital, Oxford, United Kingdom
| | - Hien T. Nguyen
- National Institute of Hygiene and Epidemiology, Hanoi, Vietnam
| | - Menno D. de Jong
- Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam
- Nuffield Department of Clinical Medicine, John Radcliffe Hospital, Oxford, United Kingdom
| | - Peter Horby
- Oxford University Clinical Research Unit, Hanoi, Vietnam
- Nuffield Department of Clinical Medicine, John Radcliffe Hospital, Oxford, United Kingdom
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