Abstract
Influenza A Pandemic (H1N1) 2009 Virus and HIV
Highlights
The patient was a 37-year-old, HIV-positive, former intravenous drug user in a methadone-substitution program
Chest radiograph findings were consistent with bacterial pneumonia (Figure, panel A)
The patient shared a room with a highly immunocompromised HIV patient, who was negative for pandemic (H1N1) 2009 virus but received oseltamivir as prophylaxis
Summary
The patient was a 37-year-old, HIV-positive, former intravenous drug user in a methadone-substitution program. Chest radiograph findings were consistent with bacterial pneumonia (Figure, panel A). On July 3, she returned to the hospital because of dyspnea and high fever (38.5°C). Oxygen saturation was 75%, pO2 33.8 mm Hg (FiO2 21%), and blood pressure 90/54 mm Hg. Chest radiographs showed alveolar infiltrates in the right lower lobe (Figure, panel B).
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