scholarly journals Myocarditis Associated with Influenza A H1N1pdm2009

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Akira Ukimura ◽  
Hidetoshi Satomi ◽  
Yukimasa Ooi ◽  
Yumiko Kanzaki
Keyword(s):  
Influenza A ◽  
Case Reports ◽  
Acute Myocarditis ◽  
Influenza Pandemic ◽  
Influenza Infection ◽  
Clinical Severity ◽  
Fulminant Myocarditis ◽  
Circulatory Support ◽  
Influenza Pandemics ◽  
2009 Influenza Pandemic

Acute myocarditis is a well-known complication of influenza infection. The frequency of myocardial involvement in influenza infection varies widely, with the clinical severity ranging from asymptomatic to fulminant varieties. The worst cases can result in death due to impaired cardiac function, although such fulminant myocarditis associated with influenza infection is rare, as shown by previous papers. Following the 2009 influenza pandemic, we reported on the clinical features of a cohort of 15 patients in Japan with H1N1pdm2009 myocarditis. In our subsequent survey of the literature for case reports or series of patients with myocarditis associated with H1N1pdm2009, we identified 58 detailed cases. We discuss here the high prevalence of fulminant myocarditis (36/58, 62%) among patients reported to have myocarditis associated with H1N1pdm2009. Mechanical circulatory support was required in 17 of the patients with fulminant myocarditis, 13 of whom recovered. We stress the need for increased awareness of influenza-associated myocarditis; such knowledge will facilitate earlier diagnosis and treatment of this fatal complication during future influenza pandemics.

Influenza myocarditis in paediatric patients

2021 ◽  
pp. 1-3
Author(s):  
Paola Dolader ◽  
Joan Balcells ◽  
Ferran Gran
Keyword(s):  
Influenza Virus ◽  
Influenza A ◽  
Mechanical Circulatory Support ◽  
Clinical Presentation ◽  
Acute Myocarditis ◽  
Fulminant Myocarditis ◽  
Circulatory Support ◽  
Virus Infections ◽  
Hemodynamic Compromise ◽  
Paediatric Patients

Abstract Acute myocarditis is a rare but potentially fatal disease. Endomyocardial biopsy and histologic examination are key to an accurate diagnosis. Despite being an uncommon cause, Influenza A and B viruses are a well-documented aetiology. Myocarditis may complicate about 0 to 10% of influenza virus infections (0.4 to 5% in paediatric cases). The clinical presentation varies widely, from ischemic-like chest pain to fulminant myocarditis with acute hemodynamic compromise, requiring mechanical circulatory support, with high mortality in the acute phase. We report a series of paediatric patients with myocarditis due to Influenza virus, to emphasize the importance of considering this uncommon aetiology.

scholarly journals Children under 10 years of age were more affected by the 2018/19 influenza A(H1N1)pdm09 epidemic in Canada: ‎possible cohort effect following the 2009 influenza pandemic

2019 ◽  
Vol 24 (15) ◽  
Author(s):  
Danuta M Skowronski ◽  
Siobhan Leir ◽  
Gaston De Serres ◽  
Michelle Murti ◽  
James A Dickinson ◽  
...  
Keyword(s):  
General Population ◽  
Influenza A ◽  
Influenza Pandemic ◽  
Age Distribution ◽  
Cohort Effect ◽  
Surveillance Network ◽  
Medical Visits ◽  
Influenza A H1n1 ◽  
2009 Influenza Pandemic ◽  
Negative Controls

Introduction Findings from the community-based Canadian Sentinel Practitioner Surveillance Network (SPSN) suggest children were more affected by the 2018/19 influenza A(H1N1)pdm09 epidemic. Aim To compare the age distribution of A(H1N1)pdm09 cases in 2018/19 to prior seasonal influenza epidemics in Canada. Methods The age distribution of unvaccinated influenza A(H1N1)pdm09 cases and test-negative controls were compared across A(H1N1)pdm09-dominant epidemics in 2018/19, 2015/16 and 2013/14 and with the general population of SPSN provinces. Similar comparisons were undertaken for influenza A(H3N2)-dominant epidemics. Results In 2018/19, more influenza A(H1N1)pdm09 cases were under 10 years old than controls (29% vs 16%; p < 0.001). In particular, children aged 5–9 years comprised 14% of cases, greater than their contribution to controls (4%) or the general population (5%) and at least twice their contribution in 2015/16 (7%; p < 0.001) or 2013/14 (5%; p < 0.001). Conversely, children aged 10–19 years (11% of the population) were under-represented among A(H1N1)pdm09 cases versus controls in 2018/19 (7% vs 12%; p < 0.001), 2015/16 (7% vs 13%; p < 0.001) and 2013/14 (9% vs 12%; p = 0.12). Conclusion Children under 10 years old contributed more to outpatient A(H1N1)pdm09 medical visits in 2018/19 than prior seasonal epidemics in Canada. In 2018/19, all children under 10 years old were born after the 2009 A(H1N1)pdm09 pandemic and therefore lacked pandemic-induced immunity. In addition, more than half those born after 2009 now attend school (i.e. 5–9-year-olds), a socio-behavioural context that may enhance transmission and did not apply during prior A(H1N1)pdm09 epidemics.

The Osteopathic Approach During the 1918 Influenza Pandemic, Featuring Newly Analyzed Case Reports

2021 ◽  
Vol 31 (2) ◽  
pp. 9-16
Author(s):  
Leslie M. Ching ◽  
Ashley Watson ◽  
Tyler Watson ◽  
Philip Ridgway
Keyword(s):  
Mortality Rate ◽  
Influenza A ◽  
Case Reports ◽  
Influenza Pandemic ◽  
Geographic Location ◽  
H1n1 Influenza ◽  
Patient Treatment ◽  
Osteopathic Medicine ◽  
1918 Influenza ◽  
Osteopathic Physicians

Abstract Osteopathic physicians played a pivotal role in treating patients suffering from the H1N1 influenza A virus of the 1918 Influenza Pandemic. This article focuses on case reports and questionnaire answers from the Journal of the American Osteopathic Association (JAOA), now the Journal of Osteopathic Medicine (JOM), and Osteopathic Physician concerning the modalities, techniques, and efficacy of osteopathic treatments of the 1918 pandemic. There are 19,565 patients who are represented in this analysis. The results are compared to the often-cited 110,120 patient cases reported by the JOM in 1920. Several different approaches, including lymphatic and visceral techniques, were widely used at the time, and their historic incorporation into patient treatment is explored. There is a discussion of the geographic location and characteristics of the practices. Statistical breakdown of mortality rate, the most commonly used approaches, somatic dysfunctions commonly treated, physician anecdotes, and other common remedies used by osteopathic physicians, are noted additionally. A comparison is done of the literature regarding the osteopathic approach for COVID-19. The newly analyzed case reports in this article demonstrate a similar mortality rate as in the 1920 JAOA article and illustrate the geographical distribution, treatment approaches, and personal stories of osteopaths during the pandemic.

scholarly journals Evidence for history-dependence of influenza pandemic emergence

2017 ◽  
Vol 7 (1) ◽  
Author(s):  
Edward M. Hill ◽  
Michael J. Tildesley ◽  
Thomas House
Keyword(s):  
Influenza A ◽  
Influenza Pandemic ◽  
Influenza A Viruses ◽  
History Dependence ◽  
Influenza Pandemics ◽  
Gamma Distributions ◽  
Time Periods ◽  
Pandemic Strains ◽  
Modelling Assumptions ◽  
High Level

Abstract Influenza A viruses have caused a number of global pandemics, with considerable mortality in humans. Here, we analyse the time periods between influenza pandemics since 1700 under different assumptions to determine whether the emergence of new pandemic strains is a memoryless or history-dependent process. Bayesian model selection between exponential and gamma distributions for these time periods gives support to the hypothesis of history-dependence under eight out of nine sets of modelling assumptions. Using the fitted parameters to make predictions shows a high level of variability in the modelled number of pandemics from 2010–2110. The approach we take here relies on limited data, so is uncertain, but it provides cheap, safe and direct evidence relating to pandemic emergence, a field where indirect measurements are often made at great risk and cost.

scholarly journals Liver involvement during influenza infection: perspective on the 2009 influenza pandemic

2011 ◽  
Vol 6 (3) ◽  
pp. e2-e5 ◽  
Author(s):  
Neven Papic ◽  
Ana Pangercic ◽  
Martina Vargovic ◽  
Bruno Barsic ◽  
Adriana Vince ◽  
...  
Keyword(s):  
Influenza Pandemic ◽  
Influenza Infection ◽  
Liver Involvement ◽  
2009 Influenza Pandemic

scholarly journals Pandemic influenza A(H1N1) 2009 breakthrough infections and estimates of vaccine effectiveness in Germany 2009-2010

2010 ◽  
Vol 15 (18) ◽  
Author(s):  
O Wichmann ◽  
P Stöcker ◽  
G Poggensee ◽  
D Altmann ◽  
D Walter ◽  
...  
Keyword(s):  
Pandemic Influenza ◽  
Influenza A ◽  
Influenza Pandemic ◽  
Rapid Assessment ◽  
Screening Method ◽  
Age Groups ◽  
Vaccine Effectiveness ◽  
Influenza A H1n1 ◽  
Reported Data ◽  
2009 Influenza Pandemic

During the 2009 influenza pandemic, a monovalent AS03-adjuvanted vaccine was almost exclusively used in Germany for immunisation against the 2009 pandemic influenza A(H1N1) virus. One-dose vaccination was recommended for all age groups. We applied the screening method for the rapid assessment of vaccine effectiveness (VE) based on reported data of vaccinated and unvaccinated pandemic influenza cases and vaccination coverage estimates. Preliminary results demonstrate excellent VE in persons aged 14-59 years (96.8%; 95% confidence interval (CI): 95.2-97.9) and moderately high VE in those 60 years or older (83.3%; 95% CI: 71.0-90.5).

scholarly journals Immunophenotype Expressions and Cytokine Profiles of Influenza A H1N1 Virus Infection in Pediatric Patients in 2009

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Shih-Min Wang ◽  
Yu-Ting Liao ◽  
Yu-Shiang Hu ◽  
Tzong-Shiann Ho ◽  
Ching-Fen Shen ◽  
...  
Keyword(s):  
Influenza A ◽  
Pediatric Patients ◽  
Mononuclear Cells ◽  
H1n1 Virus ◽  
Influenza Pandemic ◽  
Influenza Infection ◽  
Plasma Concentrations ◽  
Pulmonary Complications ◽  
Cytokine Profiles ◽  
Influenza A H1n1

Background. A novel swine-origin influenza A H1N1 virus (S-OIV) caused human infection and acute respiratory illness in 2009, resulting in an influenza pandemic.Objectives. This study characterized the immune responses of S-OIV infection in pediatric patients at risk of pulmonary complications.Methods. All enrolled pediatric patients were confirmed virologically for S-OIV infection in 2009-2010, prospectively. Changes in cellular immunophenotypes were analyzed using flow cytometry. Plasma cytokine levels associated with S-OIV infection by pulmonary and without pulmonary complications were measured using cytokine cytometric bead assay kits.Results. A total of 85 patients with a mean age of 10.3 years were recruited. The level of C-reactive protein (CRP) was high in patients exhibiting pulmonary complications. The percentage of cellular immunophenotypes did not change between patients with and without pulmonary complications. The absolute numbers of peripheral blood mononuclear cells (PBMC), CD3, CD8, and CD16CD56 decreased with acute S-OIV pulmonary complications. Acute influenza infection with pulmonary complications was associated with high plasma concentrations of IL-1β, IL-6, IL-12, and IFN-γ.Conclusion. Immunophenotype studies have reported variability in immune response to the severity of S-OIV infections. Acute phase cytokine profiles of the 2009 S-OIV infection might have contributed to the pathogenesis of the pulmonary complications.

Does the weather play a role in the spread of pandemic influenza? A study of H1N1pdm09 infections in France during 2009–2010

2015 ◽  
Vol 143 (16) ◽  
pp. 3384-3393 ◽  
Author(s):  
M. VITTECOQ ◽  
B. ROCHE ◽  
J.-M. COHEN ◽  
F. RENAUD ◽  
F. THOMAS ◽  
...  
Keyword(s):  
Influenza A ◽  
Climatic Factors ◽  
Case Reports ◽  
Influenza Pandemic ◽  
National Level ◽  
Weather Conditions ◽  
Demographic Variables ◽  
Prevention Measures ◽  
Control And Prevention

SUMMARYUnderstanding patterns of influenza spread and persistence is crucial for pandemic preparedness. The H1N1pdm09 virus caused the first influenza pandemic of the 21st century which resulted in at least 18500 deaths. Based on laboratory-confirmed primary-care case reports we investigated the role of weather conditions and socio-demographic variables in its initial spread and subsequent presence in France. Our findings suggest that low relative humidity and high population density were determinants in shaping the early spread of the virus at the national level. Those conditions also favoured the persistence of viral presence throughout the first 33 weeks of the pandemic. Additionally this persistence was significantly favoured by low insolation. These results confirm the increasingly recognized role of humidity in influenza dynamics and underlie the concomitant effect of insolation. Therefore climatic factors should be taken into account when designing influenza control and prevention measures.

scholarly journals Global dynamic spatiotemporal pattern of seasonal influenza since 2009 influenza pandemic

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Zhi-Wei Xu ◽  
Zhong-Jie Li ◽  
Wen-Biao Hu
Keyword(s):  
South Africa ◽  
Influenza A ◽  
Seasonal Influenza ◽  
Influenza Pandemic ◽  
Influenza Viruses ◽  
Sub Saharan Africa ◽  
Spatiotemporal Pattern ◽  
Influenza B ◽  
2009 Influenza Pandemic ◽  
Influenza Seasonality

Abstract Background Understanding the global spatiotemporal pattern of seasonal influenza is essential for influenza control and prevention. Available data on the updated global spatiotemporal pattern of seasonal influenza are scarce. This study aimed to assess the spatiotemporal pattern of seasonal influenza after the 2009 influenza pandemic. Methods Weekly influenza surveillance data in 86 countries from 2010 to 2017 were obtained from FluNet. First, the proportion of influenza A in total influenza viruses (PA) was calculated. Second, weekly numbers of influenza positive virus (A and B) were divided by the total number of samples processed to get weekly positive rates of influenza A (RWA) and influenza B (RWB). Third, the average positive rates of influenza A (RA) and influenza B (RB) for each country were calculated by averaging RWA, and RWB of 52 weeks. A Kruskal-Wallis test was conducted to examine if the year-to-year change in PA in all countries were significant, and a universal kriging method with linear semivariogram model was used to extrapolate RA and RB in all countries. Results PA ranged from 0.43 in Zambia to 0.98 in Belarus, and PA in countries with higher income was greater than those countries with lower income. The spatial patterns of high RB were the highest in sub-Saharan Africa, Asia-Pacific region and South America. RWA peaked in early weeks in temperate countries, and the peak of RWB occurred a bit later. There were some temperate countries with non-distinct influenza seasonality (e.g., Mauritius and Maldives) and some tropical/subtropical countries with distinct influenza seasonality (e.g., Chile and South Africa). Conclusions Influenza seasonality is not predictable in some temperate countries, and it is distinct in Chile, Argentina and South Africa, implying that the optimal timing for influenza vaccination needs to be chosen with caution in these unpredictable countries.

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