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Infection of a human with novel avian influenza A H7N9 virus was first reported early in 2013. Since then, more than 130 cases have been confirmed (all in China and Taiwan). Most infected patients developed severe pneumonia, and more than one quarter died. Most early patients had contact with poultry — the likely reservoir. Now, investigators report evidence of human-to-human transmission of novel avian H7N9 virus.
The index patient was a 60-year-old man who had purchased six quails from a live market and cooked them for his family a week before becoming ill. He developed fever, cough, and dyspnea. Three days later, he was admitted to the hospital and developed acute respiratory distress syndrome. Seven days after admission, oseltamivir was …