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We report the bronchoscopic findings associated with a fatal case of H1N1 influenza A associated with co\u2010infection with methicillin\u2010resistant <jats:italic>Staphylococcus aureus<\/jats:italic> (MRSA) in a previously healthy child, which were more severe than those previously described as associated with seasonal influenza infection alone. The severity of the airway pathology seen on bronchoscopy in this patient may be due to a unique effect of the H1N1 influenza A virus or may be as a result of a destructive synergism between this virus and bacteria such as MRSA. Pediatr Pulmonol. \u00a9 2010 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ppul.21306","type":"journal-article","created":{"date-parts":[[2010,12,3]],"date-time":"2010-12-03T20:29:20Z","timestamp":1291408160000},"page":"92-95","source":"Crossref","is-referenced-by-count":7,"title":["Bronchoscopic findings in a child with pandemic novel H1N1 influenza a and methicillin\u2010resistant <i>Staphylococcus aureus<\/i>"],"prefix":"10.1002","volume":"46","author":[{"given":"Jack K.","family":"Sharp","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Hereth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Fasanello","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,12,3]]},"reference":[{"key":"e_1_2_5_2_2","first-page":"185","article-title":"Human infection with new influenza A (H1N1) virus: clinical observations from Mexico and other affected countries, May 2009","volume":"84","year":"2009","journal-title":"Wkly Epidemiol Rec"},{"key":"e_1_2_5_3_2","first-page":"1071","article-title":"Bacterial co\u2010infections in lung tissue specimens from fatal cases of 2009 pandemic influenza A (H1N1)\u2014United States, May\u2013August 2009","volume":"58","author":"Louie J","year":"2009","journal-title":"MMWR Wkly"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1086\/430424"},{"key":"e_1_2_5_5_2","first-page":"941","article-title":"Surveillance for pediatric deaths associated with 2009 pandemic Influenza A (H1N1) virus infection\u2014United States, April\u2013August 2009","volume":"58","author":"Shannon S","year":"2009","journal-title":"MMWR Wkly"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-1336"},{"key":"e_1_2_5_7_2","first-page":"162","article-title":"Disturbances of the ciliated epithelium due to influenza virus","volume":"93","author":"Hers JF","year":"1966","journal-title":"Am Rev Respir Dis"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid1206.051141"},{"key":"e_1_2_5_9_2","first-page":"325","article-title":"Severe methicillin\u2010resistant Staphylococcus aureus community\u2010acquired Pneumonia associated with influenza\u2014Louisiana and Georgia. 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