By Michael Smith, North American Correspondent, MedPage Today
Published: December 23, 2009
Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco and
Dorothy Caputo, MA, RN, BC-ADM, CDE, Nurse Planner

Brazilian researchers have found three distinct patterns of lung damage in patients who died of the H1N1 pandemic flu.

They also found evidence of a so-called “cytokine storm,” a runaway immune response associated with the lung damage, according to Thais Mauad, MD, PhD, of Sao Paulo University Medical School, and colleagues.

The findings come from the first autopsy series of patients who succumbed to the pandemic influenza strain, Mauad and colleagues wrote in the Jan. 1 issue of the American Journal of Respiratory and Critical Care Medicine.

continued

http://www.medpagetoday.com/InfectiousDisease/URItheFlu/17662

Canada
•  Antiviral-resistant H1N1 flu found in Manitoba child (Link)

China
•  China reports 91 more deaths from A/H1N1 flu (Link)
•  Hong Kong reports 50th death from influenza A/H1N1 (Link)

Egypt
•  CIDRAP: Egypt reports 90th H5N1 case (Link)

Georgia
•  7 Lethal Cases of H1N1 Reported in Georgia (ex-soviet Geogia) (Link)

India
•  23 swine flu deaths in India take toll to 815  (Link)

Malaysia
•  Malaysian Travellers With ILI Symptoms Advised To Seek Immediate Treatment (Link)

Switzerland
•  Tamiflu-resistant H1N1 detected (Link)

Taiwan
•  Disease Control Expert Concerned about Mutation of H1N1 Virus (Link)

Thailand
•  Thailand reports one more death from A/H1N1 flu (Link)

United Kingdom
•  Swine Flu Boy Survives Life Saving Operation (Link)

United States
•  CIDRAP: CDC sets sights on getting pandemic vaccine to adults (Link)
•  FL: H1N1 Vaccine Side Effect Strikes Man (Link)
•  PA: (1) New Death in Blair Co reported 11/14/09 (Link)

General
•  H1N1 Influenza May Increase Maternal Deaths (login required to read the article) (Link)
•  The World Health Organization estimated at 11,516 fatalities in the world for influenza A (translated) (Link)
•  Other viruses abound in flu season, tests show (Link)
•  NEJM: Intravenous Zanamivir for Oseltamivir-Resistant 2009 H1N1 Influenza (Link)
•  Swine Flu Hits Pregnant Women, Kids Hardest  (Link)
•  Swine flu deadlier in children than seasonal flu (Link)
•  Vaccines enjoy renaissance in pharma industry  (Link)

Commentary
•  Recombinomics: Emergence and Evolution of Pandemic Tamiflu Resistance (Link)

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