A 10-year-old boy with a confirmed diagnosis of H1N1. Computed tomography images performed 4 days after the onset of the symptoms demonstrate moderate peribronchovascular and subpleural consolidation predominant in the lower lobes. The boy developed respiratory failure and received mechanical ventilation for 19 days. The duration of viral shedding in this patient was 23 days, and he died 30 days after the onset of clinical symptoms.