Detection of mild to moderate influenza A/H7N9 infection by China’s national sentinel surveillance system for influenza-like illness: case series
Patient 4 was a 26 year old man from Jiangsu who first had fever and a productive cough with yellowish sputum on 8 April. He sought care at a routine sentinel clinic two days later, and was prescribed 1 g ceftazidime every 6 h. He presented again on April 12 with fever of 38.5°C, and was admitted to hospital and started on oseltamivir 75 mg twice daily and moxifloxacin 400 mg once daily. Initial investigation revealed radiological evidence of left sided pneumonia (fig 5) and mildly elevated concentrations of serum transaminases (table 2). His nasopharygeal swab at the sentinel clinic tested positive for A/H7N9 after his admission. He improved clinically and was discharged on 26 April 2013.