Influenza A - H1N1

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Acute illness of the respiratory tract caused by the influenza A virus. This is more virulent than the common flu due to changes that has suffered in its composition (antigenic variation).

The virus is transmitted through coughing and sneezing by infected people. It can also be transmitted via personal contacts or through contaminated objects.

Symptoms are similar to those of the common flu, with headache, low-grade fever, chills, myalgia, general malaise together with a cough and pharyngitis.

Diagnosis is reached through medical history, physical examination and laboratory tests. There are specific laboratory tests to detect the H1N1 flu virus.

Symptoms must be treated and, in the most severe cases, a specific antiviral therapy (oseltamivir or zanamivir) is used.

Bibliographic references
  1. Anna R Thorner. Clinical manifestations and diagnosis of pandemic H1N1 influenza ('swine influenza'). UpToDate. Mar 20, 2015.
  2. Anna R Thorner. Treatment and prevention of pandemic H1N1 influenza ('swine influenza'). UpToDate. May 03, 2016.
  3. Centers for Disease Control and Prevention (CDC). Update: novel influenza A (H1N1) virus infections - worldwide, May 6, 2009. MMWR Morb Mortal Wkly Rep 2009; 58:453.
  4. World Health Organization. Influenza-like illness in the United States and Mexico http://www.who.int/csr/don/2009_04_24/en/index.html (Accessed on October 11, 2011).
  5. Yehuda Z. Cohen, Raphael Dolin. Gripe (influenza). Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición. 1209:1214.
  6. J. García San Miguel, J. Vidal. Gripe. Farreras Rozman. Medicina Interna. Volumen 2. 12º edición.2435-2438.
  7. Pedro Luis Serrano Cuadrado, Juan José Puche Paniagua, Fernando Cuadra García - Tenorio, Agustín Julián Jiménez. Manual de protocolos y actuación en Urgencias. 3ª edición. 2010.679-688.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Cough


    Feeling generally unwell


    Sore throat


    Fever / Feel very hot


    Fever between 39ºC and 39.9ºC

Symptoms to watch out for

Fever that doesn't subside with antipyretics (paracetamol, ibuprofen)
Difficulty breathing
A feeling of shortness of breath
Reduction in the level of consciousness
If it is accompanied by seizures

Self-care

Consume over-the-counter pain relievers or anti-inflammatories.
Maintain a balanced diet: increase fruit, vegetable, and white meat consumption and reduce the intake of fatty meals and fritters.
Relative rest, rest until symptoms subside.
Maintain hydration of 2 litres per day.
Check with your general practitioner for antivirals.