Novel Influenza A (H1N1)-Associated Acute Necrotizing Encephalopathy: A Case Report

被引:8
作者
Kim, Ki Jung [1 ]
Park, Eun Sook [1 ]
Chang, Hyun Jung [2 ]
Suh, Miri [1 ]
Rha, Dong-Wook [1 ]
机构
[1] Yonsei Univ, Coll Med, Dept & Res Inst Rehabil Med, 50 Yonsei Ro, Seoul 120749, South Korea
[2] Sungkyunkwan Univ, Sch Med, Samsung Changwon Hosp, Dept Phys & Rehabil Med, Chang Won, South Korea
来源
ANNALS OF REHABILITATION MEDICINE-ARM | 2013年 / 37卷 / 02期
关键词
H1N1 subtype influenza A virus; Viral encephalitis; Humans influenza;
D O I
10.5535/arm.2013.37.2.286
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Several cases of acute necrotizing encephalopathy (ANE) with influenza A (H1N1) have been reported to date. The prognosis of ANE associated with H1N1 is variable; some cases resulted in severe neurologic complication, whereas other cases were fatal. Reports mostly focused on the diagnosis of ANE with H1N1 infection, rather than functional recovery. We report a case of ANE with H1N1 infection in a 4-year-old Korean girl who rapidly developed fever, seizure, and altered mentality, as well as had neurologic sequelae of ataxia, intentional tremor, strabismus, and dysarthria. Brain magnetic resonance imaging showed lesions in the bilateral thalami, pons, and left basal ganglia. To our knowledge, this is the first report of ANE caused by H1N1 infection and its long-term functional recovery in Korea.
引用
收藏
页码:286 / 290
页数:5
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