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Fraaij PLA, Wildschut ED, Houmes RJ, Swaan CM, Hoebe CJ, de Jonge HCC, Tolsma P, de Kleer I, Pas SD, Oude Munnink BB, Phan MVT, Bestebroer TM, Roosenhoff RS, van Kampen JJA, Cotten M, Beerens N, Fouchier RAM, van den Kerkhof JH, Timen A, Koopmans MP. Severe acute respiratory infection caused by swine influenza virus in a child necessitating extracorporeal membrane oxygenation (ECMO), the Netherlands, October 2016. Euro Surveill 2016; 21:30416. [PMID: 27934581 PMCID: PMC5388114 DOI: 10.2807/1560-7917.es.2016.21.48.30416] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2016] [Accepted: 11/30/2016] [Indexed: 11/20/2022] Open
Abstract
In October 2016, a severe infection with swine influenza A(H1N1) virus of the Eurasian avian lineage occurred in a child with a previous history of eczema in the Netherlands, following contact to pigs. The patient's condition deteriorated rapidly and required life support through extracorporeal membrane oxygenation. After start of oseltamivir treatment and removal of mucus plugs, the patient fully recovered. Monitoring of more than 80 close unprotected contacts revealed no secondary cases.
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Affiliation(s)
- Pieter L A Fraaij
- Department of Viroscience Erasmus MC, Rotterdam, The Netherlands
- Department of Pediatrics, Subdivision Infectious diseases and Immunology, Erasmus MC - Sophia, Rotterdam, The Netherlands
| | - Enno D Wildschut
- Intensive Care and Department of Pediatric Surgery, Erasmus MC-Sophia, Rotterdam, The Netherlands
| | - Robert J Houmes
- Intensive Care and Department of Pediatric Surgery, Erasmus MC-Sophia, Rotterdam, The Netherlands
| | - Corien M Swaan
- Centre for Infectious Disease Control-National Institute for Public Health and the Environment, Bilthoven, The Netherlands
| | - Christian J Hoebe
- Department of Sexual Health, Infectious Diseases and Environmental Health, Public Health Service South Limburg, Geleen, The Netherlands
- Faculty of Health, Medicine and Life Sciences Department of Medical Microbiology, Maastricht Infection Center (MINC),School of Public Health and Primary Care (CAPHRI),Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands
| | - H C C de Jonge
- Gemeentelijke Gezondheidsdienst Rotterdam-Rijnmond, Rotterdam, The Netherlands
| | - Paulien Tolsma
- Gemeentelijke Gezondheidsdienst Brabant zuidoost, Eindhoven, The Netherlands
| | - Isme de Kleer
- Department of Paediatrics, Subdivision of pulmonary medicine, Erasmus MC - Sophia, Rotterdam, The Netherlands
| | - Suzan D Pas
- Department of Viroscience Erasmus MC, Rotterdam, The Netherlands
| | | | - My V T Phan
- Department of Viroscience Erasmus MC, Rotterdam, The Netherlands
| | | | | | | | - Matthew Cotten
- Department of Viroscience Erasmus MC, Rotterdam, The Netherlands
| | - Nancy Beerens
- Wageningen Bioveterinary reseach- Wageningen University and Research, Lelystad, the Netherlands
| | - Ron A M Fouchier
- Department of Viroscience Erasmus MC, Rotterdam, The Netherlands
| | - Johannes H van den Kerkhof
- Centre for Infectious Disease Control-National Institute for Public Health and the Environment, Bilthoven, The Netherlands
| | - Aura Timen
- Centre for Infectious Disease Control-National Institute for Public Health and the Environment, Bilthoven, The Netherlands
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