소아에서 계절성 인플루엔자의 신경학적 또는 신경근육 합병증Neurologic and Neuromuscular Complications of Seasonal Influenza in Children
- Other Titles
- Neurologic and Neuromuscular Complications of Seasonal Influenza in Children
- Authors
- 최준식; 김효정
- Issue Date
- 2016
- Publisher
- 대한소아신경학회
- Keywords
- Influenza; Human; Encephalitis; Viral; Optic neuritis; Child
- Citation
- 대한소아신경학회지, v.24, no.4, pp.240 - 245
- Journal Title
- 대한소아신경학회지
- Volume
- 24
- Number
- 4
- Start Page
- 240
- End Page
- 245
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/9046
- DOI
- 10.26815/jkcns.2016.24.4.240
- ISSN
- 1226-6884
- Abstract
- Purpose: Influenza is generally known cause of acute respiratory disease. It is also cause of neurologic complications and has seldom non-benign nature. We report our cases of neurologic complications with influenza infection among children in 2013 seasonal endemic, and debate on benign nature of seasonal influenza.
Methods: We retrospectively reviewed the medical records of all children who were confirmed influenza infection at the Konyang University Hospital, between December 2013 and March 2014.
Results: A total of 279 children had influenza infections and 17 (6.1%) presented with neurologic complications. Eight patients manifested febrile seizures, one presented status epilepticus due to with aggravation of epilepsy, and seven presented with myositis. Influenza-associated encephalitis and optic neuritis were observed in each one patient. Most patients showed mild and benign progress, however the patient with influenza-associated encephalitis suffered severe complications.
Conclusion: Children with seasonal influenza infections presented a wide spectrum of neurologic manifestations usually in young children. We recommend to suspect the possibility of influenza infection in the diagnosis of children manifesting neurologic symptoms during influenza epidemics.
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