Heart & Lung: The Journal of Acute and Critical Care
Volume 39, Issue 3 , Page 260, May 2010

Erratum

Article Outline

 

In Cunha BA, Syed U, Mickail N, Strollo S. Rapid clinical diagnosis in fatal swine influenza (H1N1) pneumonia in an adult with negative rapid influenza diagnostic tests (RIDTs): Diagnostic swine influenza triad. Heart Lung 2010;39:78-86, the following tables have corrected data:

Table I. H1N1 pneumonia: Winthrop-University Hospital Infectious Disease Division's Diagnostic weighted point score system for hospitalized adults with negative rapid influenza diagnostic test results
Adults with ILIs with dry cough, fever > 102°F with a chest x-ray without focal or segmental/lobar infiltrates, and negative RIDTs
• Myalgias+5
• Relative lymphopenia (otherwise unexplained)+5
• Elevated CPK (otherwise unexplained)+3
• Elevated serum transaminases (SGOT/SGPT)+2
• Thrombocytopenia (otherwise unexplained)+5
Argues against a diagnosis of H1N1 pneumonia:
• Relative bradycardia (otherwise unexplained)−5
• Leukopenia (otherwise unexplained)−2
• Atypical lymphocytes−1
• Highly elevated serum ferritin levels (>2× normal)−5
• Hypophosphatemia (otherwise unexplained)−3
Swine influenza diagnostic point score totals:
Maximum score20
Probable H1N1 pneumonia>15
Possible H1N1 pneumonia10-15
Unlikely H1N1 pneumonia<10

ILI = influenza-like illness; CPK = creatine phosphokinase; SGOT = serum glutamic-oxaloacetic transaminase; SGPT = serum glutamic-pyruvic transaminase.

Table II. Rapid clinical diagnosis of H1N1 pneumonia in hospitalized adults with negative RIDTs: Diagnostic swine influenza triad
Probable H1N1 pneumonia diagnosis (clinical criteria)
• ILI with dry cough, temperatures > 102°F, with a chest x-ray without focal segmental/lobar infiltrates and negative RITDs,a plus this diagnostic triad (any 3):
• Relative lymphopeniab
• Thrombocytopeniab
• Elevated serum transaminasesb
• Elevated CPKsb

ILI = influenza-like illness; RT-PCR = reverse transcriptase-polymerase chain reaction; RIDT = rapid influenza diagnostic test.

aDiagnostic tests negative for other viral community-acquired pneumonia pathogens (cytomegalovirus, severe acute respiratory syndrome, hantavirus pulmonary syndrome, respiratory syncytial virus metapneumoviruses, parainfluenza viruses, and adenoviruses).

bOtherwise unexplained.

PII: S0147-9563(10)00062-2

doi:10.1016/j.hrtlng.2010.02.001

Refers to article:

  • Rapid clinical diagnosis in fatal swine influenza (H1N1) pneumonia in an adult with negative rapid influenza diagnostic tests (RIDTs): Diagnostic swine influenza triad

    Burke A. Cunha, Uzma Syed, Nardeen Mickail, Stephanie Strollo
    Heart & Lung: The Journal of Acute and Critical Care January 2010 (Vol. 39, Issue 1, Pages 78-86)

Heart & Lung: The Journal of Acute and Critical Care
Volume 39, Issue 3 , Page 260, May 2010

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