[Non-fatal case of H1n1 influenza encephalopathy in a pediatric patient]
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Published on: November 20, 2015
María Del Carmen Valdivia-Tapia1, Nilton Yhuri Carreazo2,3
1Servicio de Pediatría. Hospital de Emergencias Pediátricas. Lima, Perú.
Insights
Influenza A H1N1 infection can cause severe neurological symptoms in children, including seizures and intracranial hypertension. Prompt supportive care can lead to favorable outcomes, even without antiviral treatment.
Area of Science:
- Pediatric Neurology
- Infectious Diseases
Background:
- Influenza A virus infections are common in children.
- Neurological complications of influenza can be severe and varied.
Observation:
- A 2-year-old girl presented with fever, upper respiratory symptoms, and focal seizures.
- Seizures progressed, leading to increased intracranial pressure.
Findings:
- Polymerase chain reaction confirmed influenza A H1N1 infection.
- The patient experienced focal hemispheric seizures and intracranial hypertension.
Implications:
- This case highlights the potential for severe neurological manifestations of H1N1 influenza in pediatric patients.
- Supportive care alone may be sufficient for managing H1N1-associated neurological complications in some children.
Abstract:
A 2-year-old girl presented with fever, catarrhal symptoms, and focal right hemispheric seizures that persisted and led to signs of intracranial hypertension. An influenza A H1N1 infection was confirmed via polymerase chain reaction analysis of a nasopharyngeal swab. The patient, who was not treated with oseltamavir, has responded favorably to supportive measures.
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