swine flu symptoms rash adults

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  • Feb 16, 2020

Rash associated with pandemic (H1N1) influenza | CMAJ
Rash associated with pandemic (H1N1) influenza | CMAJ

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A man 44 years presented with a two-day history of nausea, vomiting and fever with a temperature of 39 ° C. The patient had a history of ulcerative colitis; However, the symptoms are not like those of previous flare-ups of the disease. He suffered non-bloody diarrhea and abdominal pain. Her oral intake and reduced urine output, and he has postural dizziness. Patients reported that he did not have respiratory symptoms and had contact with anyone who is sick, traveled recently or taken antibiotics. The only drug that has been taken before the presentation is acetaminophen for fever.

The initial clinical examination is mediocre. The cause of her symptoms of infection is suspected, and blood cultures, stool cultures and nasopharyngeal swabs obtained. Patients hospitalized for fluid resuscitation and given 4 mg intravenous ondansetron for nausea.

On the fourth day of the patient’s illness, he began to cough sputum yellow, and pink maculopapular rash appeared on his upper abdomen (). rash becomes confluent and spread to most of his body, sparing only the face, hands and feet. Within 48 hours, the rash has resolved completely.

maculopapular rash on the stomach of a man 44 years with the pandemic (H1N1) influenza.

The results of blood and stool cultures are negative, but nasopharyngeal swab culture positive for influenza A and confirmed by polymerase chain reaction for the pandemic (H1N1) 2009 virus. Patients were given oseltamivir 75 mg orally twice daily for five days in accordance with the recommendations of the Centers for Disease Control and Prevention. All the rest of the patient’s symptoms resolved during the next 10 days.

clinical characteristics typical of pandemic (H1N1) influenza were reported include fever, cough, respiratory symptoms on other, diarrhea and vomiting., Rash associated with influenza A typically macular or maculopapular in nature and occurs in approximately 2% of patients-usually children. Ondansetron has been associated with a rash in 1% of adults being treated. Our patients have been exposed in the past to ondansetron, and acetaminophen, without side effects.

Vigilance is required for timely diagnosis of pandemic (H1N1) influenza. Although the rash is a rare manifestation of influenza, a high index of suspicion should be maintained for patients who have a rash and symptoms consistent with influenza infection. During the pandemic, the unusual presentation of pandemic diseases remain more common than the usual presentation of rare diseases

Competing interests: .. Not stated

this article has been peer reviewed.

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