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Clinical Medicine Insights: Case Reports

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Delay in Diagnosis of Influenza Virus in an Elderly Hospitalized Patient: a Fatal Outcome

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Publication Date: 08 Jan 2012

Type: Case report

Journal: Clinical Medicine Insights: Case Reports

Citation: Clinical Medicine Insights: Case Reports 2012:5 5-8

doi: 10.4137/CCRep.S8460

Abstract

Influenza is a well established cause of seasonal hospitalizations and deaths among older persons. However, influenza is frequently underdiagnosed by physicians, because its clinical presentations are often complex, particularly in elderly patients. We report the case of a 78-year-old woman admitted to the emergency department in January 2008 with fever, vomiting, and a history of asthenia and falls in the preceding three days. Diagnosis of influenza at admission was missed. Influenza was diagnosed by direct fluorescent antibody in a sputum specimen four days later, but the evolution was rapidly unfavorable with fatal respiratory distress syndrome. This case illustrates that, during the influenza season, influenza should be suspected in elderly patients admitted to hospital even if they do not present with classical symptoms. Immunofluorescence testing on sputum specimens can provide a rapid diagnosis and merits further evaluation.



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I had a great experience publishing my case report in this journal. The submission to editorial decision time was very short, and in addition there were frequent updates by email regarding the status of the manuscript. I thought the editors were very friendly and supportive. I would recommend this journal to anyone wishing to publish his/her research in a quality journal with a decent article processing speed. I also appreciate the support given by the ...
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