it was a fat girl with asthma  > canadian teen had high viral loads, lower airway sample showed mutations in one of the reports, canadian researchers described clinical findings from a canadian teen who contracted a severe infection from an undetermined source. the 13-year-old girl has mild asthma and elevated body mass index. she was first seen at an emergency department (ed) after a 2-day history of conjunctivitis in both eyes and a 1-day history of fever, then was sent home without treatment. > her condition worsened, and 3 days later she returned to the ed in respiratory distress and hemodynamic instability and was admitted to the intensive care unit. the initial nasopharyngeal swab was positive for influenza a, but not the seasonal subtype. further testing suggested a high viral load with a novel influenza a infection, which was found to be h5 avian influenza. the following day she was started on oseltamivir. > after her respiratory function deteriorated further, she was intubated and placed on extracorporeal membrane oxygenation (ecmo). doctors also added combination antiviral treatment, which included baloxavir and amantadine.
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