TITLE: Influenza A: the first died in Naples
BODY OF ARTICLE: DG The patient died of sepsis Staphylococcus aureus and pneumonia complicated by acute renal failure in a patient with severe dilated cardiomyopathy, diabetes melli ... to feeble-minded in infection with virus A H1 N1.
The death of Naples is to be charged "only indirectly" to infection with H1N1 influenza in severely ill patients than in any other favors such febrile illness results confirmed the Ministry of Welfare in a statement.
From corriere.it
Italy also has its first death due, at least indirectly, influenza A. He did not in fact made the DG Neapolitan patient of 51 years admitted to the hospital for days Cotugno in Naples. The hospital's medical director Cotugno, Cosimo Maiorino issued a brief note confirming the patient's death: "At 24.00 hours - is the text of the press - the patient died of DG by Staphylococcus aureus sepsis and pneumonia complicated by renal acute renal failure in a patient with severe dilated cardiomyopathy, diabetes mellitus, feeble-minded who are infected with virus A H1 N1.
THE PRESS - The cause of death of DG, Cotugno Hospital Naples, "is not due to the virulence of the virus, but the existing state of debilitation of the patient linked to the major diseases which had affected" underscores the hospital's medical director Cotugno Naples, Cosimo Maiorino, who met with reporters. The cause of death - said the medical director as outlined in the medical report confirming last night - are due to the worsening of the previous severe dilated cardiomyopathy complicated by acute renal failure, septicemia and pneumonia by Staphylococcus aureus in a diabetic patient who had already and feeble-minded, co-infected with H1N1 virus.
THE MINISTRY - The death of Naples is to be charged 'only indirectly' influenza H1N1 infection in severely ill patients than in any other favors such febrile illness results confirmed the Ministry of Welfare in a statement. "We need to distinguish at this point - said the ministry - such cases, when the death occurs in the course of influenza A virus H1N1, the rare severe cases directly attributable to this virus, like the one on the patient admitted to Monza and affection primary viral pneumonia. These recent cases in which there is a direct effect of virus on the lungs are worrying but fortunately extremely rare. "
THE DEATH - DG is thus the first victim (indirect) influence in Italy, which is causing the deaths of hundreds of people all over the world, although, in this first Italian case, as specified by the medical director of Cotugno, the virus is only partially liable for the death has been determined, above all, the serious illnesses that have afflicted the patient for some time. The man, a feeble-minded person, in fact, had long suffered from dilated cardiomyopathy and a very severe form of diabetes. The clinical picture, recently, it was further complicated due to renal failure and sepsis from Staphylococcus aureus. The conditions of DG have been a further sharp deterioration at about 23 on Thursday. The medical and paramedical staff employed in the intensive care unit of Cotugno immediately intervened, virtually all the actions within the treatment protocols. Before long, however, doctors have noted an increasing bradycardia, ie a gradual slowing of the heartbeat, until he was succeeded by fibrillation and, finally, the arrest. Doctors at the Cotugno continued with resuscitation for 45 minutes, until it has had to observe the patient's death.
HISTORY - The condition of man - who lived with his elderly mother in the neighborhood Secondigliano - were much criticized since since he was admitted in the hospital for the treatment of infectious diseases in Naples. The doctors, in reality, they had never had too many hopes that he could survive. Since his arrival at the hospital last Tuesday, DG had been subjected to artificial respiration and monitoring in terms of hemodynamic and respiratory, with EKG, blood pressure and levels of blood gases. DG was from the outset also subjected to renal hemofiltration. The man was initially admitted to Cardarelli Hospital, where he had been diagnosed with severe cardiopulmonary and renal insufficiency, and this had been intubated. Later he was transferred to hospital CTO and, after examination, he had been diagnosed with N1H1 influenza virus A. At that point had been raised to Cotugno. DG has never been abroad, and because of the many diseases that affects, in the past had been admitted in various hospitals and nursing homes in Naples. Doctors at the Cotugno, however, have ruled that he may have contracted the virus N1H1 during one of these shelters.
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