A child with avian influenza A (H5N1) infection
Kulkanya Chokephaibulkit1, Mongkol Uiprasertkul, Pilaipan Puthavathana
1Department of Pediatrics, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Insights
Human avian influenza A (H5N1) virus infections can be severe. Early diagnosis and oseltamivir treatment are crucial for children, as demonstrated in a Thai patient case study.
Area of Science:
- Virology
- Public Health
Background:
- Human infections with avian influenza viruses pose a significant public health threat, potentially leading to pandemic strains.
- Avian influenza, particularly the H5N1 strain, has been associated with severe human disease.
Observation:
- A case of human infection with influenza A (H5N1) virus in Thailand is presented.
- The patient exhibited rapid progression from fever and dyspnea to acute respiratory distress syndrome.
- Key clinical findings included lymphopenia and thrombocytopenia.
Findings:
- The diagnosis of H5N1 influenza in this patient heightened public awareness of the virus.
- Following the diagnosis, poultry-to-human transmission of the virus was halted.
Implications:
- Prompt diagnosis and treatment are critical for managing severe avian influenza cases in humans.
- Oseltamivir is recommended for the treatment of suspected avian influenza infection in children based on available data.
Abstract:
Human infections with avian influenza viruses can be severe and may be harbingers of the evolution of a pandemic strain. We present a patient in Thailand who was infected with influenza A (H5N1) virus. Prominent features included the progression from fever and dyspnea to the acute respiratory distress syndrome in a short period, lymphopenia and thrombocytopenia. Establishing the diagnosis for this patient increased public awareness of the virus and was soon followed by a halting of poultry-to-human transmission. On the basis of available data, any child with suspected avian influenza infection should be treated with oseltamivir.
Related Concept Videos
Influenza
Chickenpox
Respiratory Syncytial Virus Disease
Viral Recombination
Arboviral Encephalitis
Acute Pharyngitis
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:


