Novel Influenza A H1N1 Hospitalized and Fatal Case Report

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June 25, 2009 Novel Influenza A (H1N1) Case History Form (Hospitalized and Fatal Cases) Patients must have 1) a clinical syndrome consistent with influenza or its complications; 2) either probable or confirmed novel influenza A (H1N1) by laboratory testing; and 3) been either hospitalized OR expired at any location (e.g. hospital, ER, home, etc). LHD: _____________________ CDPH Case ID Number: CA_____________ Case Status: Probable Confirmed Last name ______________________ First name DOB ____/_____/____ Sex:  Female  Male Street Address: ________________________ ____________ City ______________________ Zip Code _______________ Race:  White  Black  Native American  Asian/PI  Other  Unknow Ethnicity:  Hispanic  NonHispanic n Date onset of symptom(s): ______/______/______ Level of medical care (check all that apply): Outpatient clinic ER Inpatient Ward ICU None Medical Record #________________ Recent travel? Yes No yes, where:________________ If Recent ill contacts: Yes No yes, who:______________ If If hospitalized, Date of admission: _____/_____/_____ Date of discharge: _____/_____/_____ Symptoms that occurred during the current illness: Fever >38º Cough Sore throat  Rhinorrea  Chills  Nausea/vomiting  Diarrhea  Muscle aches Seizures Vaccination Status Was patient vaccinated for influenza this season (at least 14 days prior to onset of symptoms)?  Yes  No  Unk If yes, how many doses:  One Two If yes, type of vaccine:  Inactivated  FluMist Vaccinated for influenza in prior seasons?  Yes  No  Unk Diagnostic/Laboratory Studies CBC: Hct ______ Plt ______ WBC______ Chest X-ray: Pos Neg Not done Findings: ___________________________________________ Chest CT: Pos Neg Not done Findings: ___________________________________________ Lumbar puncture: Pos Neg Not done Findings:____________________________________________ Other pertinent labs (LFTs, MRI/CT, etc.)_________________  Shortness of breath Altered mental status Other; specify______________________________________ Complications that occurred during the acute illness:  Pneumonia/ARDS  Bronchiolitis  2 bacterial pneumonia ْ  Myocarditis Encephalitis/encephalopathy Sepsis/Multi-organ Failure _ ___________________________________________________ Microbiologic Tests [attach copy of microbiology reports] Rapid test done:  Yes  No  Unk If yes: Pos Neg Was influenza diagnosed by other methods (check all that apply) IFA/DFA PCR Viral culture Other: ________ Rapid RSV test result Pos Neg Not done Influenza PCR result Unsubtypeable Novel flu A (H1) Laboratory name: _________________________________ Other viral/bacterial pathogens detected?  Yes  No  Unk If yes, specify source: Sputum ET asp BAL Pleural fluid Blood Other______________________ If yes, specify pathogen:_____________________________ Other micro results: ___________________________________ Clinical course Other, specify __________________________________ Significant Past Medical History (check all that apply) Cardiac disease Chronic pulmonary disorder Immunosuppressed (e.g. HIV, cancer): Metabolic disorder (e.g. DM, renal)  Yes  No Unk  Yes  No  Unk  Yes  No  Unk  Yes  No  Unk Neuromuscular disorder (e.g., seizure disorder, developmental delay/MR, hypoxic encephalopathy, etc)  Yes  No  Unk Hemoglobinopathy (e.g. SCD): Long -term aspirin therapy: Genetic disorder (e.g. Downs,)  Yes  No  Unk  Yes  No  Unk  Yes  No Unk Immunosuppressive meds (e.g. steroids):  Yes  No  Unk Prematurity:  Yes  No  UnkIf yes, #weeks gestation:_____ Gastrointestinal disease (e.g. GE reflux)  Yes  No  Unk Pregnant: Obesity  Yes  No Unk  Yes  No Unk If yes, EDC :_____ If yes, weight____ height____ Antivirals (if any), type and dates started: _______________________________________ ___/___/___ If hospitalized, intubated?  Yes  No Unk Died:  Yes  No If yes, date of death ___/___/___ Other conditions:  Yes  No  Unk Hospital Contact Name: _______________________________ Hospital:____________________________________________ Phone/Pgr:___________________E-mail:_________________ LHD Contact Name:__________________________________ Phone/Pgr:___________________E-mail:_________________ If YES for any of the above, please specify: ___________________________________________________ ___________________________________________________ Please forward any available medical records (e.g. H & P, micro reports, discharge summary, autopsy report). Please contact your local health department or CDPH to report these cases ASAP so that we can assist with collection and shipment of specimens for further laboratory characterization. TO REPORT A CASE, PLEASE CONTACT CONTRA COSTA PUBLIC AT 925-313-6740 AND FAX THIS FORM TO 925-313-6465 For questions, contact your local county health department or the California Department of Public Health Viral and Ricketsial Disease Laboratory (510) 307-8585

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