Wednesday, July 15, 2009

Oink Oink

A college student at UCSD after partying too hard over spring break presents to student health with a few days of fever, chills, vomiting, diarrhea, cough, sore throat, rhinorrhea, nasal congestion, malaise, and headache. Ridiculous! He does have a test coming up but he insists that he's really sick. His past medical history includes poorly controlled asthma which required one emergency department visit in the last year and obesity. His temperature is 38.3C=101F. One of your hobbies happens to be electron microscopy; here's what you find:

Challenge: Most likely diagnosis?

Image is in the public domain.

4 comments:

Anonymous said...

i think its swine flu.abdominal form of acute viral respiratory disease.am translating directly from russia hope u`ll be able to understand i love yo site by the way.

Stephanie said...

swine flu

Alex said...

oink oink = swine flu

Craig Chen said...

yes - should have done this case earlier, when all my patients were asking about it.
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Oink Oink

This is swine H1N1 influenza A. The outbreak was detected March-April 2009 in Mexico; this disease reached pandemic status in June 2009. Transmission is most commonly by respiratory secretions of infected persons. About 2-5% of confirmed cases required hospitalization, most commonly for pneumonia and dehydration. The recommended diagnostic test is real-time reverse transcriptase-PCR for influenza A, B, H1, and H3.

Sources: UpToDate; www.cdc.gov.