A Case of H1N1 Pneumonia with Alveolar Hemorrhage that Resolved Rapidly with Steroid Therapy

H1N1 infections have high mortality and morbidity around the world. Our case is 36 years old woman, was admitted to emergency service with tachycardia and dyspnea. Then she was transferred to the chest disease clinic with bilateral pneumonia. But in a few hours she was taken to intensive care unit for close follow-up and intubation. Her nasopharyngeal swabs were found positive for H1N1. She didn’t improve despite anti-viral and antibiotics. Fiberoptic bronchoscopy was applied, diffuse hyperemia and hemorrhage from right lower lobe was seen. 60 mg/day prednisolone was started and at the third day of treatment she was extubated and her vital signs became better. This case shows that steroid therapy makes rapid improvement at H1N1 pneumonia patients with alveolar hemorrhage.

Steroid Tedavisine Hýzlý Yanýt Alýnan Alveoler Hemoraji Ýle Birliktelik Gösteren H1N1 Pnömoni Olgusu

H1N1 enfeksiyonlarý, tüm dünyada önemli oranda mortalite ve morbiditeye neden olmaktadýr. Olgumuz 36 yaþýndaki bayan hasta taþikardi ve dispne nedeniyle acile servise baþvurmuþtur. Bilateral viral pnömoni nedeniyle serviste takip edilmiþ ve çok kýsa sürede durumu aðýrlaþtýðý için yoðun bakýma alýnmýþtýr. Boðaz sürüntüsü H1N1 ile uyumlu gelmiþtir. Yoðun antiviral ve antibiyotik tedavisine raðmen düzelmeyen hastaya yapýlan bronkoskopide yaygýn hiperemi sað alt lobdan hemoraji olduðu saptanmýþtýr. Hastaya 60 mg/gün prednizolon tedavisi baþlanmýþ, tedavinin 3. gününde ekstübe olmuþ ve genel durumu düzelmiþtir. Steroid tedavisinin alveolar hemoraji ile birliktelik gösteren viral pnömonilerde kýsa sürede düzelme saðladýðýnýn gösterilmesi amacýyla bu olgu sunulmuþtur.