- Note - The first two paragraphs is a software translation.
- Not old at intervals of, Karwati again cut off one chicken
and only was eaten by his family. Further was reported Karwati on Monday
September 19 experienced the fever. Because never recovered, Karwati was
brought to RS Medika Cikarang that was located around 1 km from his house.
- "He entered RS Medika on Tuesday morning."
Initially Karwati was diagnosed suffered typhus. Afterwards vomited blood
and the nosebleed, afterwards were diagnosed by dengue fever. However when
tell about chronological before Karwati was sick, the RS side at once reconciled
RSPI Sulianti Saroso, he said.
- The above machine translation indicates that the latest
confirmed H5N1 fatality was initially misdiagnosed as having dengue fever.
She was transferred to Sulianti Saraos because she had eaten a bird that
had died suddenly. Thus, had that history not been revealed, or if the
bird appeared healthy because of an asymptomatic H5N1 infection, it is
likely that the H5N1 would have been recorded as another dengue fever death
in Indonesia. Thus far this year Indonesia has recorded 538 fatalities
from dengue fever.
- The entire area is reporting unusually high number of
cases of dengue fever. The Philippines has recorded 259 dengue fever deaths.
- Last year the index case of human-to-human transmission
in Thailand was diagnosed as dengue fever because she vomited blood and
had a nose bleed. She fatally infected her mother, who was H5N1 positive.
Her aunt was also H5N1 positive.
- The confusion of pandemic influenza with dengue fever
was also seen in the 1918 flu pandemic. Many patients had internal bleeding
and bleeding under this skin. This led to mis-diagnosis of dengue fever,
typhoid, and cholera.
- The spread of H5N1 in Indonesia suggests monitoring efforts
in the region are far from adequate. Indonesia now has 10 acknowledged
H5N1 cases. Six have died and one has been discharged. Two are in South
Sulaweto, indicating H5N1 in humans has spread far and wide.
- The number of H5N1 cases in Indonesia and the area in
general is unknown because of the lack of H5N1 testing combined with false
negatives. Indeed, only one of the three family members in Tangerang is
an official H5N1 cases, although all three clearly died from H5N1 infections.
- An increased screening of patients is long overdue, and
the latest fatality should make it clear that the number of H5N1 case misdiagnosed
as dengue fever may be very large.
- © 2005 Recombinomics. All rights reserved.