Close
Help




JOURNAL

Clinical Medicine Insights: Case Reports

241,588 Journal Article Views | Journal Analytics

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

Submit a Paper



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.


Downloads

PDF  (434.05 KB PDF FORMAT)

RIS citation   (ENDNOTE, REFERENCE MANAGER, PROCITE, REFWORKS)

BibTex citation   (BIBDESK, LATEX)

XML






What Your Colleagues Say About Clinical Medicine Insights: Case Reports
My experience with Clinical Medicine Insights: Case Reports was excellent.  The entire review process was fast and accurate.  My previous experience with important top ranking journals was unpleasant mainly because the staff were slow and sometimes presumptuous.  On the contrary, the editors of Libertas were helpful and prompt in responding to questions and issues related to the submission.  I recommend the publisher to my colleagues.
Dr Lucio Gnessi (Sapienza University of Rome, Italy)
More Testimonials

Quick Links


New article and journal news notification services