RESUMO
After a 10-day course of oral oseltamivir for pandemic (H1N1) 2009 influenza infection, a renal transplant recipient developed rapid-onset severe primary viral pneumonia due to oseltamivir-resistant virus. Respiratory failure progressed despite high-dose oral oseltamivir, nebulised zanamivir and cessation of immunosuppressive medications, but his condition improved with intravenous zanamivir. He subsequently died of non-respiratory complications. This is the first case of oseltamivir-resistant pandemic (H1N1) 2009 in Australia and the first report of resistance in a solid organ transplant recipient.
Assuntos
Antivirais/uso terapêutico , Surtos de Doenças , Farmacorresistência Viral , Vírus da Influenza A Subtipo H1N1 , Influenza Humana/tratamento farmacológico , Oseltamivir/uso terapêutico , Adulto , Austrália , Humanos , Influenza Humana/complicações , Influenza Humana/epidemiologia , Transplante de Rim , MasculinoRESUMO
Dreams in midlife and old age can reveal a process of spiritual growth described by Tornstam as gerotranscencence. This same process of inner growth has also been described in theoretical terms as self-actualization (Maslow), ego-integrity (Erikson), and individuation (Jung). The process is illustrated through dream symbols of transpersonal development, displaying the duality of self-fulfillment and self- transcendence. In lifespan development terms this process can be studied in detail in the autobiography of Helen Luke. The interpretation of dreams has importance for what has recently come to be known as Conscious Aging.