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      The first case of H5N1 avian influenza infection in a human with complications of adult respiratory distress syndrome and Reye's syndrome.

      Journal of Paediatrics and Child Health
      Child, Preschool, Fatal Outcome, Humans, Influenza A Virus, H5N1 Subtype, Influenza A virus, isolation & purification, Male, Multiple Organ Failure, diagnosis, Pneumonia, Viral, virology, Respiratory Distress Syndrome, Adult, therapy, Reye Syndrome

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          Abstract

          Avian influenza virus was not known to cause systemic infection in humans before. We report a 3-year-old boy with good past health who developed pneumonia caused by H5N1 avian influenza A virus (A/Hong Kong/156/97). The virus was isolated from a tracheal aspirate. There were complications of Reye's syndrome, adult respiratory distress syndrome, and multiple organ system failure. He had a history of receiving aspirin. His adult respiratory distress syndrome did not respond to endotracheal surfactant replacement therapy. He died 6 days after admission. Clinicians should be alert to the importance of a new human influenza strain.

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