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. 2006 Mar 27;37(4):381–390. doi: 10.1016/j.humpath.2006.01.015

Table 2.

Summary of pathologic reports on H5N1

Case Sex/age Year/countries Duration of disease (d) Major pathologic findings Reference
1 F/13 1997/Hong Kong 30 Organizing DAD with interstitial fibrosis (Fig. 3D-F), reactive hemophagocytic syndrome, lymphoid depletion (Fig. 4C), hepatic centrilobular necrosis, acute renal tubular necrosis, microglial nodules with demyelination in cerebral white matter (Fig. 4E and F). [26]
2 F/25 1997/Hong Kong 30 Similar to above except for normal brain, presence of extramedullary hematopoiesis and focal necrosis in lymph node [26]
3 M/33 2003/Hong Kong 10 Acute DAD (Fig. 3A-C), reactive hemophagocytic syndrome (Fig. 4A and B), activated lymphoid cells in reticuloendothelial system, lymphoid depletion, skeletal muscle fiber necrosis (Fig. 4D), acute renal tubular necrosis, normal brain [4]
4 F/26 2004/Thailand 10 DAD, interstitial pneumonia, cholestasis, hemophagocytic activity in liver, lymphoid depletion in spleen [27]
5 M/6 2004/Thailand 17 Consolidated lungs with focal hemorrhage, DAD, interstitial lymphoplasmacytic infiltrate, bronchiolitis, histiocytosis in lymphoid system but no hemophagocytosis, reactive hepatitis, small foci of necrosis in brain [28], [29]
6, 7, 8 Not specified 2004/Thailand Not specified Lung and spleen examined only, DAD with hyaline membrane, reactive fibroblasts and hemorrhage, atypical lymphocytes in spleen. [30]

NOTE. Fig. 3, Fig. 4 are new photomicrographs showing pathologic changes in case 1 and 3 examined by the authors.