Adult patient with possible seasonal influenza infection

Some key data:

  • Abrupt onset of systemic symptoms. Patient suddenly feels very ill, with fever, malaise and even dizziness.
  • Respiratory symptoms are both upper and lower, even mild dyspnea.
  • Incubation last 2 days. By day 4 there is sumptom onset. It may start to improve by day 5 and end by day 7 but it may take much longer, even up to 10-14 days.
  • You must suspect it during outbreak. Must be your first suspicion. Otherwise the possibility of flu is much lower. Then rhinovirus will be the most likely cause.
  • Older adults, patients with other comorbidities and immunocompromised patients will be at higher risk of longer diseas and complications.
  • Most important and frequent complication is pneumonia. This may be primary from flu or secondary from bacteria, most frequently from strept. Pneumoniae.
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