Patient aged 38 years with obesity is admitted in infectious diseases hospital Constanta with diagnosis of bilateral lower lobar bronchopneumonia and symptoms: fever, fatigue, malaise, myalgia, headache, cough, sputum, and dyspnea. After the diagnosis of pulmonary Radioscopy the physician put the admission diagnosis. It establishes treatment with cephalosporins without be made the antimicrobial susceptibility. None viral investigations were is done. The symptoms worsen; the patient became agitated, with altered level of consciousness, hallucinations and meningeal signs. He was transferred to Emergency Hospital Bucharest on oct.09.2014, the department of ICU in a coma.
It performed the four MRI examinations and diagnosis was of acute demyelinating encephalitis. The WBC counts showed an increase of neutrophils and of C-reactive protein. The patient is intubated and mechanically ventilated. It establishes treatment with Tamiflu, Acyclovir, Meropenem, and Linezolid. On oct.15, 2014, tracheobronchial aspirate is harvested and sent to NIRDMI Cantacuzino for the diagnosis of influenza virus A/H1N1 and Haemophilus influenzae.