Erratum

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 Critical Care
January 2010 (Vol. 39, Issue 1, Pages 78-86)
Abstract | Full Text | Full-Text PDF (195 KB)

Article Outline

• Copyright

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 score	20
	Probable H1N1 pneumonia	>15
	Possible H1N1 pneumonia	10-15
	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.

Diagnostic 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).

Otherwise unexplained.

PII: S0147-9563(10)00062-2

doi:10.1016/j.hrtlng.2010.02.001

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