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. 2011 Apr;17(4):653–660. doi: 10.3201/eid1704.101429

Table 2. Clinical characteristics and outcomes of 8 patients with H275Y mutation of pandemic (H1N1) 2009 virus, Seattle Cancer Care Alliance, Seattle, Washington, USA, May 1, 2009–April 30, 2010*.

Patient no. Symptoms of URTI Signs of LRTI Radiology results Antiviral drug therapy before resistance Co-pathogens Outcome
1
24 h before diagnosis: congestion, headache
Hypoxemia; positive BAL result on d 5
Bilateral ground glass opacity
Oseltamivir 150 mg 2×/d followed by peramivir
None
Death related to influenza
2
48 h before diagnosis: congestion, wet cough, sore throat, fever (24 h)
Hypoxemia; positive BAL result on d 25
Bilateral ground glass opacity
Oseltamivir 150 mg 2×/d +
rimantadine 100 mg 2×/d
Pneumocystis spp.
(DFA + in BAL)
Alive
3
5 d before diagnosis: fever (24 h), wet cough
Hypoxemia;
positive BAL result on d 2
Multiple nodules with halo sign
Oseltamivir 150 mg 2×/d
Aspergillus
(PCR and GM result positive in BAL sample); Staphylococcus aureus; PIV3
Alive
4
<24 h before diagnosis: fever (5 d), cough
Hypoxemia
Bilateral infiltrates
Oseltamivir 2 mg/kg 2×/d
None
Alive
5
<24 h before diagnosis: cough, rhinorrhea, congestion
No
Bronchial thickening
Oseltamivir 150 mg 2×/d
None
Alive
6
<24 h before diagnosis: rhinorrhea, fever (24 h), cough
No
None
Oseltamivir 150 mg 2×/d
None
Alive
7
24 h before diagnosis: sore throat, fever (24 h), cough
No
CXR stable
Oseltamivir 75 mg 2×/d +
rimantadine 100 mg 2×/d
Rhinovirus
(PCR result positive in NW sample)
Alive
8 24 h before diagnosis: sore throat, fever (24 h), chills No CXR normal Prophylaxis: oseltamivir 45 mg 2×/d for 10 d, ended 3 d before influenza diagnosis None Alive

*URTI, upper respiratory tract infection; LRTI, lower respiratory tract infection; BAL, bronchoalveolar lavage; DFA, direct immunofluorescence assay; GM, galactomanane; PIV3, parainfluenza virus 3; NW, nasal wash; CXR, chest radiograph.