The problem is very serious and the Health Minister of Argentina is expected to resign tomorrow.
I read this article in Spanish but just now found a translated version.
Lungs that “catch fire” in hours
We are seeing the internment of young patients, among 15 and 50 years, with pneumonias, some that evolve quickly towards a gravity that stops many is unusual, in which the lung “catches fire” in a matter of hours”, commented doctor Jorge San Juan, head of the Department of Intensive Therapy of the Muñiz hospital.
That has taken to that the patients of these characteristics begin to be treated in more and more aggressive form. As the NATION informed yesterday, the doctors received from the Ministry of Health the directive to take, of now in more, to all the cases of influenza like potentials of A influenza (H1N1), with the recommendation to realise x-rays of thorax to the patients with fever symptoms and fatigue and to commit quickly to which they suffer pneumonia.
“Today, that already is known that the virus is circulating massively, the attitude that has itself with the patients depends on the clinical evaluation that the doctor does, so that he is not transformed into a serious case. No longer [is necessary to make the diagnosis of laboratory that confirms the infection by the new virus] to begin the treatment”, said doctor Vilma Savy, female leader of the Respiratory Service of Virus of the Malbrán institute.
The preoccupation by how it attacks this influenza some young people was confirmed to the NATION by a forensic doctor who, in the last hours, realised two autopsies in two people passed away by influenza A.
“The bodies had the vísceras, meninges and the brain inflamed, a factor little common in which dies by influenza. In addition, the lungs were in very bad state, with spots that we have not been able to identify. We sent them to realise studies of pathological anatomy”, said the pathologist that it asked not to present his name until the sanitary authorities took note from the found thing.
The changes in the strategies of attention of the patients who arrive with advanced pictures of influenza aim at being more aggressive: to try, and later to see what happens; to burn stages. “This form of attention of the serious patient will change the evolution and will avoid more deaths and pneumonias - doctor San Juan affirmed, coordinator of the Committee of Emergencia Epidemiologist of the Buenosairean Ministry of Health.
For a serious pneumonia, San Juan explained, today the patients not only receive antibiotics in empirical form but also antiviral and the possibility is not delayed of resorting to the mechanical respiratory attendance. “Although 24 hours are expected generally to see how it evolves, we suggested not to do it and, if it is unbalanced quickly, to arrive at intubation”, it needed San Juan.
The province of Buenos Aires will count, as of the next week, with tests of fast diagnosis that will allow to discriminate, in only 15 hisopados minutes by means of, if the person is carrying of influenza A. Anyway, the final confirmation will give the Malbrán institute it. The new test will serve to begin the treatment before, informed the Buenosairean sanitary authorities.