Avalon catheter in patient testing positive for #H1N1-swine- | Figure 1

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Avalon catheter in patient testing positive for #H1N1-swine-influenza requiring intubation after increasing SOB and respiratory failure. He was placed on VV-ECMO emergently.

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Case Details

This 44 year-old male was started on Levofloxacin, Doxycycline and Tamiflu. However, his fever persisted and dyspnea worsened, and was transferred to the MICU. His blood pressure dropped to 84/50 mmHg after intubation, and vasopressors were given via CVC (central venous catheter). A 12-lead ECG revealed sinus tachycardia and the CXR obtained 2 days later revealed diffuse infiltrations over both lungs. HBsAg and anti-HCV were negative. The abdominal echo showed no lesions of the liver, gallbladder or biliary tract. Coronary angiography (performed due to elevated cardiac enzymes) did not show coronary artery thrombosis. Lumbar puncture showed no evidence of central nervous system infection. PCWP was 16 mmHg. A dx. was made of pneumonia, septic shock, ARDS and myocarditis. Two days later, lab results came back negative for dengue fever, Q fever, scrub typhus, Rickettsia, but was positive for influenza B. What is the next step in the management of this patient?

Has anyone else seen this on these rapid flu tests? These tests were done on a patient with influenza like symptoms. She was also positive for COVID. The weird part is the first rapid flu test showed an extra line outside the parameter. It was repeated and the same thing happened with another test.

Well, it’s here! 1st influenza type B presented in our Pediatric Clinic today! Anywhere else?

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