Avian influenza natural history, complications and prognosis: Difference between revisions
Sergekorjian (talk | contribs) No edit summary |
Sergekorjian (talk | contribs) |
||
| Line 18: | Line 18: | ||
* Acute pulmonary hemorrhage | * Acute pulmonary hemorrhage | ||
* [[Pleural effusion]] | * [[Pleural effusion]] | ||
* [[Acute respiratory distress syndrome]] | * [[Acute respiratory distress syndrome]] | ||
* [[Acute renal failure]] | * [[Acute renal failure]] | ||
| Line 25: | Line 24: | ||
* [[Disseminated intravascular coagulopathy]] | * [[Disseminated intravascular coagulopathy]] | ||
* [[Reye's syndrome]] | * [[Reye's syndrome]] | ||
==Prognosis== | ==Prognosis== | ||
Of the human cases associated with the [[H5N1]] outbreaks in [[poultry]] and wild birds in Asia and parts of Europe, the Near East, and Africa, about 60% of people reported to be [[infected]] with the virus have died. Most cases have occurred in previously healthy children and young adults.<ref name=":2">Key Facts About Avian Influenza (Bird Flu) and Highly Pathogenic Avian Influenza A (H5N1) Virus. Centers for Disease Control and Prevention. http://www.cdc.gov/flu/avian/gen-info/facts.htm Accessed on April 22, 2015 | Of the human cases associated with the [[H5N1]] outbreaks in [[poultry]] and wild birds in Asia and parts of Europe, the Near East, and Africa, about 60% of people reported to be [[infected]] with the virus have died. Most cases have occurred in previously healthy children and young adults.<ref name=":2">Key Facts About Avian Influenza (Bird Flu) and Highly Pathogenic Avian Influenza A (H5N1) Virus. Centers for Disease Control and Prevention. http://www.cdc.gov/flu/avian/gen-info/facts.htm Accessed on April 22, 2015 | ||
Revision as of 13:36, 23 April 2015
|
Avian influenza Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Avian influenza natural history, complications and prognosis On the Web |
|
American Roentgen Ray Society Images of Avian influenza natural history, complications and prognosis |
|
FDA on Avian influenza natural history, complications and prognosis |
|
CDC on Avian influenza natural history, complications and prognosis |
|
Avian influenza natural history, complications and prognosis in the news |
|
Blogs on Avian influenza natural history, complications and prognosis |
|
Risk calculators and risk factors for Avian influenza natural history, complications and prognosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Following exposure to the avian influenza virus, an incubation period of 2 to 3 days for H5N1 and 2 to 8 days for H7N9 delays the onset of symptoms. The majority of patients present with with a high grade fever, cough, headache, sore throat, vomiting, diarrhea, and abdominal pain. Approximately 50% of patients with avian influenza develop severe complications such as acute respiratory distress syndrome, renal failure, sepsis, and multiple organ dysfunction syndrome. Of the reported cases, about 60% of patients have died, particularly those who develop early complications. Patients without complicated disease usually recover within 3 to 5 days with no sequelae.
Natural History
- Following initial exposure to the virus, the usual incubation period for the H5N1 avian influenza is approximately 2 to 3 days, but possibly as long as 17 days in some individuals. For the H7N9 avian influenza, the incubation period ranges from 2 to 8 days, with an average of 5 days.[1]
- The majority of patients present with a high grade fever, cough, headache, sore throat, vomiting, diarrhea, abdominal pain. [1][2]
- The illness is has an very aggressive clinical course, often with rapid deterioration.[2]
- Most patients develop significant lower respiratory tract involvement, with aggressive viral pneumonia, pleural effusions, and ARDS.[2]
- The rate of complications is very high with approximately 50% of patients suffering from life-threatening complications.[2]
Complications
Approximately 50% of patients with avian influenza develop one or more of the following complications:[2]
- Pneumonia
- Acute pulmonary hemorrhage
- Pleural effusion
- Acute respiratory distress syndrome
- Acute renal failure
- Multiple organ dysfunction syndrome
- Sepsis / Septic shock
- Disseminated intravascular coagulopathy
- Reye's syndrome
Prognosis
Of the human cases associated with the H5N1 outbreaks in poultry and wild birds in Asia and parts of Europe, the Near East, and Africa, about 60% of people reported to be infected with the virus have died. Most cases have occurred in previously healthy children and young adults.[3] Patients with early complications are at a much higher risk of death, often from multiple organ dysfunction syndrome.[2] Patients with no complications usually recover within 3 to 5 days with no sequelae.[3]
References
- ↑ 1.0 1.1 Avian Influenza Factsheet. World Health Organization. http://www.who.int/mediacentre/factsheets/avian_influenza/en/ Accessed on April 22, 2015
- ↑ 2.0 2.1 2.2 2.3 2.4 2.5 Yuen KY, Chan PK, Peiris M, et al. Clinical features and rapid viral diagnosis of human disease associated with avian influenza A H5N1 virus. Lancet. 1998;351(9101):467-71. PMID: 9482437
- ↑ 3.0 3.1 Key Facts About Avian Influenza (Bird Flu) and Highly Pathogenic Avian Influenza A (H5N1) Virus. Centers for Disease Control and Prevention. http://www.cdc.gov/flu/avian/gen-info/facts.htm Accessed on April 22, 2015