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Table 1 Clinical features of the three confirmed H7N9 cases on admission

From: A family cluster of three confirmed cases infected with avian influenza A (H7N9) virus in Zhejiang Province of China

Findings

Index case

Case 2

Case 3

Normal value

General information

    

  Age (years) and sex

49, Male

24, Female

43, Female

 

  Temperature (°C)*

40

39.5

36.8

37.0

Blood counts*

    

  White blood cells (×109 per L)

1.8

6.1

7.6

4.0 ~ 10.0

  Lymphocytes (×109 per L)

0.2

0.8

1.1

0.8 ~ 4.0

  Platelets (×109 per L)

89

157

168

101 ~ 320

Serum biochemistry*

    

  Alanine aminotransferase (U/L)

76.8

24

40

8 ~ 40

  Aspartate aminotransferase (U/L)

63

40

35

8 ~ 40

  Lactate dehydrogenase (U/L)

435

188

110

109 ~ 245

  Creatine kinase (U/L)

324.5

66

50

20 ~ 140

  C-reactive protein (mg/L)

94

9.0

6

0 ~ 8

Arterial blood*

    

  PaCO2 (mm Hg)

17

39

26

35.0 ~ 45.0 mmHg

  PaO2 (mm Hg)

69

165

85

83 ~ 108 mmHg

  Blood oxygen saturation (%)

75

99

97

95 ~ 98%

Chest radiography

Bilateral lower-lobe infiltrate and left pleural effusion

Normal

Normal

 

Complication

ARDS and multi organ failure

No

No

 

Treatment

    

  Mechanical ventilation

Yes

No

No

 

  Antiviral treatment

Oseltamivir (75 mg Bid po) + Peramivir (600 mg Qd iv)

Oseltamivir (75 mg Bid po) + Peramivir (300 mg Qd iv)

Oseltamivir (75 mg Bid po) + Peramivir (300 mg Qd iv)

 

(Commenced 6 days after illness onset)

(Commenced 3 days after illness onset)

(Commenced 1 day after illness onset)

  Antibiotic treatment

Yes

Yes

Yes

 

  Oxygen treatment

Yes

Yes

Yes

 

Outcome

Died after 7 days of onset

Survived (mild case)

Survived (mild case)

 
  1. *Data are the measurements at admission (peak measurement during hospitalization).
  2. Note: ARDS = Acute respiratory distress syndrome; Bid = twice daily; Qd = Once a day.