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Published on: August 14, 2019
Neurological complications and pandemic influenza A (H1N1) virus infection
Ibrahim Omari1, Oded Breuer, Eitan Kerem
1Department of Pediatrics, Hadassah-Hebrew University Medical Center, Mount Scopus Campus, Jerusalem, Israel.
Insights
Pandemic influenza A (H1N1) infection can present differently in children with pre-existing neurological impairments. These children may face a higher risk of developing further neurological complications.
Area of Science:
- Pediatric Neurology
- Infectious Diseases
- Virology
Background:
- Investigating the clinical course of pandemic influenza A (H1N1) in children.
- Comparing outcomes in neurologically impaired versus neurologically intact children.
Observation:
- Six pediatric cases of pandemic influenza A (H1N1) with neurological complications were identified.
- Three children had pre-existing neurological impairments; three were neurologically intact.
- Influenza A (H1N1) viral RNA was detected in nasopharyngeal samples, not cerebrospinal fluid.
Findings:
- Children with pre-existing neurological impairments exhibited a different clinical course and recovery pattern compared to neurologically intact children.
- Five out of six patients recovered or returned to their baseline status upon discharge.
Implications:
- Children with pre-existing neurological conditions may be at increased risk for neurological complications during pandemic influenza A (H1N1) infection.
- Highlights the importance of considering underlying neurological status in managing pediatric influenza cases.
Aim:
To report on a different clinical course of pandemic influenza A (H1N1) infection among children who were neurologically impaired before the acute onset of the disease, in comparison with children who were neurologically intact.
Methods:
In a period of 6 months, six children with neurological complications associated with pandemic A (H1N1) infection were identified in a single institution paediatric emergency room. The children suffered from seizures or altered mental status during pandemic A (H1N1) infection. All children underwent extensive clinical and laboratory assessment. Three children were neurologically impaired before the acute onset of the H1N1 infection. The other three were neurologically intact before the acute viral infection.
Results:
In all six patients, pandemic influenza A (H1N1) viral RNA was detected in nasopharyngeal specimens but none in the cerebrospinal fluid. Five children fully recovered or returned to baseline at discharge. The clinical course of the disease and recovery were different between the children who were neurologically impaired before the acute viral infection and those who were neurologically intact.
Conclusions:
It is possible that children with various neurological conditions are in a higher risk to develop further neurological complications during pandemic influenza A (H1N1) infection.
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