Volume 15, Number 8—August 2009
Dispatch
Avian Influenza Virus A (H5N1), Detected through Routine Surveillance, in Child, Bangladesh
W. Abdullah Brooks
, A.S.M. Alamgir, Rebecca Sultana, M. Saiful Islam, Mustafizur Rahman, Alicia M. Fry, Bo Shu, Stephen Lindstrom, Kamrun Nahar, Doli Goswami, M. Sabbir Haider, Sharifun Nahar, Ebonee Butler, Kathy Hancock, Ruben O. Donis, Charles T. Davis, Rashid Uz Zaman, Stephen P. Luby, Timothy M. Uyeki, and Mahmudur Rahman
, A.S.M. Alamgir, Rebecca Sultana, M. Saiful Islam, Mustafizur Rahman, Alicia M. Fry, Bo Shu, Stephen Lindstrom, Kamrun Nahar, Doli Goswami, M. Sabbir Haider, Sharifun Nahar, Ebonee Butler, Kathy Hancock, Ruben O. Donis, Charles T. Davis, Rashid Uz Zaman, Stephen P. Luby, Timothy M. Uyeki, and Mahmudur RahmanTable
History of illness in 16-month-old boy with influenza virus A (H5N1) infection, Bangladesh, 2008
| Manifestation | Finding/duration, d |
|---|---|
| Initial examination | |
| Fever* | Yes, 7 |
| Rhinorrhea | Yes, 5 |
| Cough | Yes, 5 |
| Difficult/fast breathing | Yes, 3 |
| Nausea/vomiting | No |
| Anorexia | Yes, 4 |
| Loose/watery/mucoid/bloody stool | No |
| Mental status/activity changes | No |
| Convulsions | No |
| Antimicrobial drugs or other
medications prior to clinic visit |
No |
| Clinical findings (day 7) | |
| Temperature,°C | 38.1 |
| Pulse, beats/min | 124 |
| Blood pressure, systolic/diastolic | 90/50 |
| Respiratory rate, breaths/min | 40 |
| Head, eyes, ears, nose, throat | Rhinorrhea (clear) |
| Chest auscultation | Clear bilaterally |
| Neurologic | Alert, no distress, nonfocal |
| Weight, kg | 8.7 |
| Weight-for-age, %† | 78.3 |
| Chest radiograph | Bilateral perihilar alveolar infiltrates (air bronchograms) |
*Chief complaint and first symptom.
†Based on National Center for Health Statistics reference data.
