Abstract
A 19-year-old patient admitted in an oncology unit for an autograft (Hodgkin disease), developed on day 20 a fatal acute respiratory failure and multiple organ failure due to an infection of the A(H1N1)v2009 virus, which was acquired in the hospital, despite partial preventive measures. At that time, the specific vaccine was not available in Réunion. We discuss the nosocomial origin of the infection. Following the epidemic wave, the vaccination rate of the general population and the hospital employees remains very low.
MeSH terms
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Acinetobacter Infections / complications
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Acinetobacter baumannii
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Anti-Infective Agents / therapeutic use
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Antineoplastic Combined Chemotherapy Protocols / adverse effects
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use
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Bacteremia / complications
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Blood Component Transfusion
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Cross Infection / complications
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Cross Infection / drug therapy
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Cross Infection / therapy
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Cross Infection / virology*
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Epidemics
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Extracorporeal Membrane Oxygenation
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Fatal Outcome
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Female
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Hodgkin Disease / complications
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Hodgkin Disease / drug therapy
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Humans
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Immunocompromised Host
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Influenza A Virus, H1N1 Subtype*
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Influenza, Human / complications
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Influenza, Human / drug therapy
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Influenza, Human / epidemiology
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Influenza, Human / therapy
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Influenza, Human / virology*
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Multiple Organ Failure / etiology
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Respiration, Artificial
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Respiratory Distress Syndrome / etiology
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Reunion / epidemiology
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Staphylococcal Infections / complications
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Transplantation Conditioning / adverse effects
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Young Adult