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Author Topic: Swine Flu causes unusual Lung Damage  (Read 2680 times)

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Offline Eeyore

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Swine Flu causes unusual Lung Damage
« on: November 13, 2009, 03:06:15 PM »

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    Thursday, October 15,  2009   

   WASHINGTON (Reuters) - The new pandemic H1N1 flu may cause blood clots and other unusual damage in the lungs and doctors need to be on the lookout, U.S. researchers reported on Thursday.
Two studies published in the American Journal of Roentgenology show the need to check X-rays and CT scans for unusual features, and also point out swine flu can be tricky to diagnose in some of the sickest patients.
H1N1 flu is causing a pandemic, and while it is not particularly deadly, it is sickening many younger adults and older children who usually escape the worst effects of seasonal flu.
"It is therefore essential that clinicians be able to recognize possible cases of pandemic H1N1 influenza in high-risk groups so that they order the appropriate diagnostic tests, begin specific antiviral therapy, and prepare to provide intensive supportive measures as needed," Dr. Daniel Mollura of the National Institutes of Health Clinical Center in Maryland and colleagues wrote.
One middle-aged man who died was not diagnosed until after death, but unusual findings on his X-rays may be able to help doctors save other, similar patients.
Mollura's team found irregularities called ground-glass opacities in the patient's lungs using a CT scan. Although the patient was severely ill and had a fever, he tested negative for flu and doctors did not treat him for it.
The man died five days after he went into the hospital and the autopsy confirmed he had swine flu. The lung lesions seen on his CT scan matched lung damage done by the virus, Mollura and colleagues said.
In another study in the same journal, CT scans of patients with severe cases of swine flu showed many had pulmonary emboli, which block the arteries in the lungs, a team at the University of Michigan found.
Anticoagulant drugs can break up these clots and save lives.
Dr. Prachi Agarwal and colleagues examined 66 patients diagnosed with H1N1, 14 of them who were in the intensive care unit. All 66 got standard X-rays, which can show if a patient has pneumonia.
They performed enhanced X-rays known as computed tomography or CT scans on 15 of the patients, 10 of them who were in the ICU on ventilators to help them breathe. Five of the ICU patients had the blood clots in the lungs, Agarwal reported
"Our study suggests that patients who are severely ill with H1N1 are also at risk for developing pulmonary emboli, which should be carefully sought for on contrast-enhanced CT scans," Agarwal said in a statement.
"The majority of patients undergoing chest X-rays with H1N1 have normal radiographs (X-rays)," she added. Pulmonary emboli are also not normally seen in flu, she said.
"CT scans proved valuable in identifying those patients at risk of developing more serious complications as a possible result of the H1N1 virus, and for identifying a greater extent of disease than is appreciated on chest radiographs."
(Reporting by Maggie Fox; Editing by Julie Steenhuysen and Cynthia Ostemran)
    "Hey, hey, hey, hey now.  Don't be mean.  We don't have to be mean. because, remember, no matter where you go, there you are."      - The Adventures of Buckaroo Banzai across The Eighth Dimension

Offline crazy horse

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Re: Swine Flu causes unusual Lung Damage
« Reply #1 on: November 14, 2009, 01:49:55 AM »
Eeyore, Did you read my story (Captain of the Men of Death), that was the name given to the horrible pneumonia people died from in 1918 flu, H1N1 flu that killed so many people. The doctors never seen such lungs as the ones from H1N1.

Offline Eeyore

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Re: Swine Flu causes unusual Lung Damage
« Reply #2 on: November 14, 2009, 02:41:52 AM »
     I shall have to read that-- this was forwarded to me from Law101 -- She's asking prayers for the heart transplant member of her fire board (crazy horse, I think you know who I mean) who was in the hospital a few weeks ago with Swine Flu and is now back in with bacterial pneumonia and is being tested for these 'lesions/embolisms.
    "Hey, hey, hey, hey now.  Don't be mean.  We don't have to be mean. because, remember, no matter where you go, there you are."      - The Adventures of Buckaroo Banzai across The Eighth Dimension

Offline crazy horse

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Re: Swine Flu causes unusual Lung Damage
« Reply #3 on: November 14, 2009, 02:49:52 AM »
Yes, shes a dear friend...I'm praying for her.

Offline Eeyore

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Re: Swine Flu causes unusual Lung Damage
« Reply #4 on: November 14, 2009, 02:50:51 AM »
I just finished it, Thank you very much!
    "Hey, hey, hey, hey now.  Don't be mean.  We don't have to be mean. because, remember, no matter where you go, there you are."      - The Adventures of Buckaroo Banzai across The Eighth Dimension

Offline Eeyore

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Re: Swine Flu causes unusual Lung Damage
« Reply #5 on: November 14, 2009, 02:51:41 AM »
Lois was not sure you'd heard-- I'm glad you had so you can pray for "P" - it sounds like she and her family need it quite a lot.
Yes, shes a dear friend...I'm praying for her.
    "Hey, hey, hey, hey now.  Don't be mean.  We don't have to be mean. because, remember, no matter where you go, there you are."      - The Adventures of Buckaroo Banzai across The Eighth Dimension

Offline crazy horse

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Re: Swine Flu causes unusual Lung Damage
« Reply #6 on: November 14, 2009, 02:51:52 AM »
Isn't that scary?

Offline crazy horse

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Re: Swine Flu causes unusual Lung Damage
« Reply #7 on: November 14, 2009, 02:53:13 AM »
The isn't that scary was regarding H1N1 of 1918 and this H1N1 as far as pneumonia. 

Offline Eeyore

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Re: Swine Flu causes unusual Lung Damage
« Reply #8 on: November 14, 2009, 02:58:30 AM »
I sort of figured that :)
     Makes me really wonder about my sister last Feb.  She'd been to the Dr thurs afternoon- 'upper resp inf', lung x-ray clear, meds and go home and rest.  Less then 24 hours later she was gone of pneumonia ---- Can't help but wonder from things heard since then if it was not early h1n1  -- no one was really looking for it at that point.
      My husband was interested in the book that he'd brougth home (mentioned in the other thread) as it also talked about how the flue spread and became pandemic, the blood that was everywhere (folks basically drowned when their body turned the 'fire hose' on inside them), and that their insides looked VERY much like they'd been in a chem attack.
The isn't that scary was regarding H1N1 of 1918 and this H1N1 as far as pneumonia. 
    "Hey, hey, hey, hey now.  Don't be mean.  We don't have to be mean. because, remember, no matter where you go, there you are."      - The Adventures of Buckaroo Banzai across The Eighth Dimension