Severe pneumonia and acute respiratory distress syndrome caused by avian influenza A (H10N3) in a young female: a case report - Scorecard - MDSpire

Acute respiratory distress syndrome and severe pneumonia linked to avian influenza A (H10N3) in a young woman: a case study

  • By

  • Mei Zhao

  • Qiyun Shi

  • Lin Zhao

  • Meng Wang

  • Jingwen Li

  • Zhiyi Wan

  • Tun Ouyang

  • Yang Yu

  • July 17, 2026

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Clinical Scorecard: Acute respiratory distress syndrome and severe pneumonia linked to avian influenza A (H10N3) in a young woman: a case study

At a Glance

CategoryDetail
ConditionAvian influenza A (H10N3) infection
Key MechanismsZoonotic transmission from infected poultry leading to severe respiratory illness.
Target PopulationIndividuals with direct contact with infected poultry or contaminated environments.
Care SettingInfectious disease facility and respiratory intensive care unit.

Key Highlights

  • Only three reported cases of human infection with H10N3 globally.
  • Patient developed severe pneumonia and ARDS after exposure to infected poultry.
  • Metagenomic sequencing confirmed avian influenza A (H10N3) infection.
  • Patient required mechanical ventilation and veno-venous ECMO due to hypoxemia.
  • Patient recovered after three months of intensive treatment.

Guideline-Based Recommendations

Diagnosis

  • Use of RT-PCR and metagenomic next-generation sequencing for confirmation of avian influenza.

Management

  • Empirical antimicrobial therapy and antiviral treatment for confirmed cases.

Monitoring & Follow-up

  • Continuous monitoring of respiratory status and potential complications such as pneumothorax.

Risks

  • High mortality rates associated with severe respiratory illness from avian influenza.

Patient & Prescribing Data

Young, previously healthy individuals with exposure to avian influenza.

Combination of antiviral and antifungal therapies along with supportive care in severe cases.

Clinical Best Practices

  • Early identification and isolation of suspected avian influenza cases.
  • Prompt initiation of antiviral therapy in confirmed cases.
  • Utilization of ECMO in cases of severe hypoxemia.

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