Swine flu woman saved by Relenza drip

http://www.guardian.co.uk/world/2009/sep/04/swine-flu-woman-saved-relenza

Doctors saved the life of a 22-year-old woman critically ill 
with <http://www.guardian.co.uk/world/swine-flu>swine fluby 
experimentally giving her a high dose of an antiviral drug directly 
into her bloodstream, they report today.

Relenza is licensed for use only through an inhaler, but attempts to 
treat the woman with the oral drug Tamiflu and Relenza in the usual 
way had little effect. In the case study, published online by the 
Lancet medical journal, Dr Michael Kidd and Dr Mervyn Singer from 
University College London Hospitals call for studies to find out 
whether Relenza given intravenously could save more lives.

The patient, whose immune system had been compromised by chemotherapy 
to treat Hodgkin's disease, was taken into intensive care on 8 July. 
Tamiflu and antimicrobials failed to help her, and she was put on a 
ventilator. Eight days of Relenza through a nebuliser did not work so 
doctors were given permission by her relatives and the hospital to 
put the drug in an intravenous drip. They also gave her a 
corticosteroid to reduce lung inflammation.

Within 48 hours she had improved, with no drug-related side-effects. 
Just over three weeks after her arrival in intensive care, she was 
discharged.

<http://www.guardian.co.uk/society/nhs>NHS guidance has lowered the 
estimate of the number of 
swine <http://www.guardian.co.uk/lifeandstyle/flu>fludeaths in the 
UK, putting the range from 3,000 deaths to a "worst-case scenario" of 
19,000, down from 65,000 in July. There have been 70 deaths so far



Experimental drug helps save critical swine flu victim

GRANT McARTHUR

http://www.news.com.au/adelaidenow/story/0,22606,25950004-5006301,00.html

GIVEN virtually no hope of survival, Ivan Luong has stunned doctors 
after recovering from swine flu with the help of a world-first 
experimental drug.

As the 20-year-old left intensive care last night following a 
marathon 38 days - including 31 on breathing machines - a team 
from <http://www.austin.org.au/Page.aspx?ID=38>Melbourne's The Austin 
hospital were still coming to terms with how they had saved the 
chronic asthmatic.

After arriving at the hospital on July 10, Mr Luong's lungs became so 
full of mucus they were almost solid, going from about 200g to more 
than 1kg and having no chance of passing oxygen into his blood.

Efforts to sustain him on traditional ventilators literally blew Mr 
Luong's lungs apart - causing air to fill his chest cavity and place 
pressure on his heart as well as dangerous pockets of air under his 
skin.

As his condition worsened an examination of the student's stomach 
revealed it had shut down, meaning the Tamiflu needed to fight off 
swine flu could not be digested.

With an intravenous drip the only way of getting medication into Mr 
Luong, the team decided to try a liquid form of flu 
drug<http://www.gsk.com.au/products_prescription-medicines_detail.aspx?view=133>Relenza
 - 
a highly experimental formula not registered anywhere in the world, 
which had to be flown in from the U.S. where it had been produced for 
clinical trials unrelated to swine flu.

A relieved Mr Luong was yesterday coming to terms with enormous 
effort made to save his life. "All I can remember is getting needles 
about 40 days ago," he said.

"I have strong parents that love me and have prayed for me."

In Adelaide yesterday, a Hove man, 37, suffering from swine flu with 
no underlying medical conditions died, becoming the 11th death in 
South Australia.
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