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Volume 15, Number 8—August 2009


Avian Influenza Virus A (H5N1), Detected through Routine Surveillance, in Child, Bangladesh

W. Abdullah BrooksComments to Author , 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
Author affiliations: International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh (W.A. Brooks, R. Sultana, M.S. Islan, Mustafizur Rahman, K. Nahar, D. Goswami, S. Nahar, R.U. Zaman, S.P. Luby); Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA (W.A. Brooks); Institute of Epidemiology, Disease Control and Research, Dhaka (A.S.M. Alamgir, S. Haider, Mahmudur Rahman); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (A.M. Fry, B. Shu, S. Lindstrom, E. Butler, K. Hancock, R.O. Donis, C.T. Davis, S.P. Luby, T.M. Uyeki)

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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
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.

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