Severe acute respiratory infection caused by swine influenza virus in a child necessitating extracorporeal membrane oxygenation (ECMO), the Netherlands, October 2016

Pieter L A Fraaij; Enno D Wildschut; Robert J Houmes; Corien M Swaan; Christian J Hoebe; H C C de Jonge; Paulien Tolsma; Isme de Kleer; Suzan D Pas; Bas B Oude Munnink; My V T Phan; Theo M Bestebroer; R Shanty Roosenhoff; Jeroen J A van Kampen; Matthew Cotten; Nancy Beerens; Ron A M Fouchier; Johannes H van den Kerkhof; Aura Timen; Marion P Koopmans

doi:10.2807/1560-7917.ES.2016.21.48.30416

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Severe acute respiratory infection caused by swine influenza virus in a child necessitating extracorporeal membrane oxygenation (ECMO), the Netherlands, October 2016
Pieter L A Fraaij^1,2 , Enno D Wildschut³ , Robert J Houmes³ , Corien M Swaan⁴ , Christian J Hoebe^5,6 , H C C de Jonge⁷ , Paulien Tolsma⁸ , Isme de Kleer⁹ , Suzan D Pas¹ , Bas B Oude Munnink¹ , My V T Phan¹ , Theo M Bestebroer¹ , R Shanty Roosenhoff¹ , Jeroen J A van Kampen¹ , Matthew Cotten¹ , Nancy Beerens¹⁰ , Ron A M Fouchier¹ , Johannes H van den Kerkhof⁴ , Aura Timen⁴ , Marion P Koopmans¹
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Affiliations: ¹ Department of Viroscience Erasmus MC, Rotterdam, The Netherlands ² Department of Pediatrics, Subdivision Infectious diseases and Immunology, Erasmus MC – Sophia, Rotterdam, The Netherlands ³ Intensive Care and Department of Pediatric Surgery, Erasmus MC-Sophia, Rotterdam, The Netherlands ⁴ Centre for Infectious Disease Control-National Institute for Public Health and the Environment, Bilthoven, The Netherlands ⁵ Department of Sexual Health, Infectious Diseases and Environmental Health, Public Health Service South Limburg, Geleen, The Netherlands ⁶ Faculty of Health, Medicine and Life Sciences Department of Medical Microbiology, Maastricht Infection Center (MINC),School of Public Health and Primary Care (CAPHRI),Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands ⁷ Gemeentelijke Gezondheidsdienst Rotterdam-Rijnmond, Rotterdam, The Netherlands ⁸ Gemeentelijke Gezondheidsdienst Brabant zuidoost, Eindhoven, The Netherlands ⁹ Department of Paediatrics, Subdivision of pulmonary medicine, Erasmus MC – Sophia, Rotterdam, The Netherlands ¹⁰ Wageningen Bioveterinary reseach- Wageningen University and Research, Lelystad, the Netherlands ¹¹ Wageningen University and Research, Wageningen the Netherlands

Correspondence:
Pieter L. Fraaij
p.fraaij erasmusmc.nl
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Citation style for this article: Fraaij Pieter L A, Wildschut Enno D, Houmes Robert J, Swaan Corien M, Hoebe Christian J, de Jonge H C C, Tolsma Paulien, de Kleer Isme, Pas Suzan D, Oude Munnink Bas B , Phan My V T, Bestebroer Theo M, Roosenhoff R Shanty, van Kampen Jeroen J A, Cotten Matthew, Beerens Nancy, Fouchier Ron A M, van den Kerkhof Johannes H, Timen Aura, Koopmans Marion P. Severe acute respiratory infection caused by swine influenza virus in a child necessitating extracorporeal membrane oxygenation (ECMO), the Netherlands, October 2016. Euro Surveill. 2016;21(48):pii=30416. https://doi.org/10.2807/1560-7917.ES.2016.21.48.30416 Received: 14 Nov 2016; Accepted: 30 Nov 2016

Abstract

In October 2016, a severe infection with swine influenza A(H1N1) virus of the Eurasian avian lineage occurred in a child with a previous history of eczema in the Netherlands, following contact to pigs. The patient’s condition deteriorated rapidly and required life support through extracorporeal membrane oxygenation. After start of oseltamivir treatment and removal of mucus plugs, the patient fully recovered. Monitoring of more than 80 close unprotected contacts revealed no secondary cases.

This work is licensed under a Creative Commons Attribution 4.0 International License.

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Severe acute respiratory infection caused by swine influenza virus in a child necessitating extracorporeal membrane oxygenation (ECMO), the Netherlands, October 2016

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