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MMWR Vol. 58 / Dispatch

Title: MMWR Vol. 58 / Dispatch

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MMWR Weekly
MMWR Dispatch
Volume 58, Dispatch
July 10, 2009

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Intensive-Care Patients With Severe Novel Influenza A (H1N1) Virus Infection Michigan, June 2009
Since April 26, communitywide transmission of novel influenza A (H1N1) virus has occurred in Michigan, with 655 probable and confirmed cases reported as of June 18. This report summarizes the clinical characteristics of a series of 10 patients with novel influenza A (H1N1) virus infection and acute respiratory distress syndrome at a tertiary-care intensive care unit in Michigan. Of the 10 patients, nine were obese (body mass index [BMI] >30), including seven who were extremely obese
(BMI >40); five had pulmonary emboli; and nine had multiorgan dysfunction syndrome. Three patients died. Clinicians should be aware of
the potential for severe complications of novel influenza A (H1N1) virus infection, particularly
in extremely obese patients.
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