
Swine flu damages the entire airway, from the trachea to deep in the lungs, just as the
viruses that caused the deadly 1918 and 1957 influenza pandemics did, but unlike seasonal
flu, a report has said.
Scientists from the National Institutes of Health (NIH) and New York City's chief medical
examiner's office examined microscope slides of tissue from 34 people who died of pandemic
swine flu earlier this year.
They found "a spectrum of damage in both the upper and lower respiratory tracts," Jeffery
Taubenberger, one of the researchers on the study, said yesterday.
In all cases, the upper respiratory tract -- the trachea and bronchial tubes -- were
inflamed and sometimes severely damaged.
In 18 cases, or more than half, damage was seen lower down, in the finer branches of the
bronchial tubes, and in 25 cases, or nearly three-quarters of the study sample, the
researchers found damage to the small globular air sacs, or alveoli, of the lungs.
"This pattern of pathology in the airway tissues is similar to that reported in victims of
both the 1918 and 1957 influenza pandemics," said Taubenberger, a virus specialist at the
National Institutes of Allergy and Infectious Diseases (NIAID).
But it differed from seasonal flu, which "causes most damage in the trachea and the
bronchial tree, not deep in the lungs," Taubenberger said.
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