A Patient with Fulminant Primary Influenza Pneumonia Which Developed into Secondary Bacterial Pneumonia

Masafumi SEKI; Kohji HASHIGUCHI; Kosuke KOSAI; Yasuhito HIGASHIYAMA; Katsunori YANAGIHARA; Shintaro KURIHARA; Koichi IZUMIKAWA; Yoshitsugu MIYAZAKI; Yoichi HIRAKATA; Takayoshi TASHIRO; Shigeru KOHNO

doi:10.11343/amn.51.121

Masafumi SEKI, Kohji HASHIGUCHI, Kosuke KOSAI, Yasuhito HIGASHIYAMA, Katsunori YANAGIHARA, Shintaro KURIHARA, Koichi IZUMIKAWA, Yoshitsugu MIYAZAKI, Yoichi HIRAKATA, Takayoshi TASHIRO, Shigeru KOHNO

Author information

Masafumi SEKI
Kitakyushu City Yahata Hospital
Department of Molecular Microbiology and Immunology, Nagasaki University Graduate School of Biomedical Sciences
Second Department of Internal Medicine, Nagasaki University School of Medicine
Kohji HASHIGUCHI
Kitakyushu City Yahata Hospital
The Japan Red Cross, Nagasaki Atomic Bomb Hospital
Kosuke KOSAI
Kitakyushu City Yahata Hospital
Department of Molecular Microbiology and Immunology, Nagasaki University Graduate School of Biomedical Sciences
Second Department of Internal Medicine, Nagasaki University School of Medicine
Yasuhito HIGASHIYAMA
Department of Molecular Microbiology and Immunology, Nagasaki University Graduate School of Biomedical Sciences
Second Department of Internal Medicine, Nagasaki University School of Medicine
Katsunori YANAGIHARA
Second Department of Internal Medicine, Nagasaki University School of Medicine
Shintaro KURIHARA
Second Department of Internal Medicine, Nagasaki University School of Medicine
Koichi IZUMIKAWA
Department of Molecular Microbiology and Immunology, Nagasaki University Graduate School of Biomedical Sciences
Second Department of Internal Medicine, Nagasaki University School of Medicine
Yoshitsugu MIYAZAKI
Department of Molecular Microbiology and Immunology, Nagasaki University Graduate School of Biomedical Sciences
Second Department of Internal Medicine, Nagasaki University School of Medicine
Yoichi HIRAKATA
Department of Molecular Microbiology and Immunology, Nagasaki University Graduate School of Biomedical Sciences
Second Department of Internal Medicine, Nagasaki University School of Medicine
Takayoshi TASHIRO
Second Department of Internal Medicine, Nagasaki University School of Medicine
Shigeru KOHNO
Department of Molecular Microbiology and Immunology, Nagasaki University Graduate School of Biomedical Sciences
Second Department of Internal Medicine, Nagasaki University School of Medicine

Keywords: Influenza virus, Primary influenza virus pneumonia, Secondary bacterial pneumonia, Staphylococcus aureus

JOURNAL FREE ACCESS

2006 Volume 51 Issue 4 Pages 121-124

DOI https://doi.org/10.11343/amn.51.121

Details

Abstract

An 88-year old man was admitted to our hospital because of severe respiratory disturbance and fever, but no sputum. We found diffuse reticular shadow on chest X-ray, and detected influenza virus antigen from nasopharyngeal swab. Primary influenza pneumonia was suspected and oseltamivir was prescribed. Data were improved after adding steroid; however, hemoptysis appeared on day 9, and the patient died 2 days later. We suspected the recurrence of primary virus pneumonia with alveolar damage, but Staphylococcus aureus was cultured from the hemosputum after his death despite oral administration of antibiotics. Subsequent secondary bacterial pneumonia as well as severe primary influenza virus pneumonia was finally suspected in this case. It was a rare case that not only fulminant primary virus pneumonia but also different type of severe influenza pneumonia were found in one patient. We need to observe influenza patients carefully, even if antibiotics were administered.

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