Abstract :
Swine flu is the present problem of the world. In
the tropical countries, swine flu is still pandemic.
The author hereby reports and discusses on a
pediatric case of swine flu. The case is a 7 yearold boy (body weight 28 kg) presenting to the
primary care center in Bangkok, Thailand with
the complaint of high fever, non productive
cough, nausea, vomiting and malaise. His body
temperature was 39.2 ˚C. His throat was red and
lung clear. The attending physician performed
tourniquet test and got positive result. The boy
was referred to the hospital for further proper
management. At the hospital, complete blood
count was done and no thrombocytopenia could
be detected. In this case, the finalized diagnosis
as swine flu was derived. The Real time PCR test
was done to confirm new H1N1 influenza virus
infection (confirmation was performed at Thai
Department of Medical Science). During
hospitalization, investigations done to rule out
co-existing dengue fever or other infections
included hemoculture, dengue serological study
(paired serum test) and Chikungunya serological
study (results of all tests were negative). Chest X
ray was also done in this case and there was no
lung involvement. This case was treated by
antiviral drug (Oseltamivir 60 mg twice daily)
and got full recovery within 10 days.
