Journal of Medicine and Life Science

  • 제17권3호
  • /
  • Pages.98-102
  • /
  • 2020
  • /
  • 1738-1010(pISSN)
  • /
  • 2671-4922(eISSN)
제주대학교 의과학연구소 (Institute for Medical Science)
권호 표지
DOI QR코드

DOI QR Code

뇌병증 또는 근염으로 발현된 소아 인플루엔자 감염 2례

Two cases of pediatric influenza infection that presented as encephalopathy or myositis

  • 이은영 (제주대학교 의학전문대학원) ;
  • 강영준 (제주대학교 의학전문대학원 의학교육학교실)
  • Lee, EunYoung (School of Medicine, Jeju National University) ;
  • Kang, Youngjoon (Department of Medical Education, School of Medicine, Jeju National University)
  • 투고 : 2020.08.03
  • 심사 : 2020.12.02
  • 발행 : 2020.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Influenza is a common disease that causes epidemics yearly due to the influenza virus. If patients with influenza present with rare symptoms, the diagnosis may be delayed and the condition is difficult to treat. A 5-year-old boy presented to the emergency room with fever and cramps. Brain computed tomography showed low attenuation in the thalamus and brain stem, which was suggestive of encephalopathy caused by influenza virus. Another 5-year-old girl visited the emergency room with mild fever and painful calf edema. She was diagnosed with myositis caused by influenza and treated accordingly.

키워드

참고문헌

  1. Turner D, Wailoo A, Nicholson K, Cooper N, Sutton A, Abrams K. Systematic review and economic decision modelling for the prevention and treatment of influenza A and B. Health Technol Assess 2003;7:iii-iv, xi-xiii, 1-170.
  2. Fineberg HV. Pandemic preparedness and response-lessons from the H1N1 influenza of 2009. N Engl J Med 2014;370:1335-42. https://doi.org/10.1056/NEJMra1208802
  3. KCDC. Influenza 2020. Available from: http://www.cdc.go.kr/npt/biz/npp/iss/influenzaStatisticsMain.do.
  4. Ryu SY. Influenza. Korean J Med 2017;92:494-8. https://doi.org/10.3904/kjm.2017.92.6.494
  5. Kondrich J, Rosenthal M. Influenza in children. Curr Opin Pediatr 2017;29:297-302. https://doi.org/10.1097/MOP.0000000000000495
  6. Huh H, Lee JK, Yun KW, Kang HG, Cheong HI. Postinfectious Glomerulonephritis Associated with Pneumococcus and Influenza A Virus Infection in a Child: a Case Report and Literature Review. Pediatr Infect Vaccine 2019;26:118-23. https://doi.org/10.14776/piv.2019.26.e14
  7. Agyeman P, Duppenthaler A, Heininger U, Aebi C. Influenza-associated myositis in children. Infection 2004;32:199-203. https://doi.org/10.1007/s15010-004-4003-2
  8. Dietzman DE, Schaller JG, Ray CG, Reed ME. Acute Myositis Associated With Influenza B Infection. Pediatrics 1976;57:255-8.
  9. Hu JJ, Kao CL, Lee PI, Chen CM, Lee CY, Lu CY, et al. Clinical features of influenza A and B in children and association with myositis. J Microbiol Immunol Infect 2004;37:95-8.
  10. Jeong JY, Kang EK, Kim DH, Kim JH, Na SY, Lee JH, et al. Clinical features and laboratory findings in children diagnosed with Benign Acute Childhood Myositis(BACM). J Korean Child Neurol Soc 2018;26:93. https://doi.org/10.26815/jkcns.2018.26.2.93
  11. Lee JS. Treatment and prophylaxis of influenza. J Korean Med Assoc 2018;61:49-54. https://doi.org/10.5124/jkma.2018.61.1.49
  12. Hoffmann G, Funk C, Fowler S, Otteneder MB, Breidenbach A, Rayner CR, et al. Nonclinical Pharmacokinetics of Oseltamivir and Oseltamivir Carboxylate in the Central Nervous System. Antimicrob Agents Chemother 2009;53:4753-61. https://doi.org/10.1128/AAC.01541-08
  13. Mastrolia MV, Rubino C, Resti M, Trapani S, Galli L. Characteristics and outcome of influenza-associated encephalopathy/encephalitis among children in a tertiary pediatric hospital in Italy, 2017-2019. BMC Infect Dis 2019;19:1012. https://doi.org/10.1186/s12879-019-4636-5
  14. Iwanaga N, Nakamura S, Fukuda Y, Takazono T, Imamura Y, Izumikawa K, et al. A fatal case of acute myocardial infarction following the improvement of influenza A(H1N1)pdm2009-related acute myocarditis. Intern Med 2014;53:2153-7. https://doi.org/10.2169/internalmedicine.53.2435
  15. Hashmi AT, Yousuf MS, Waseem H, Ambesh P, Rodriguez D, Adzic A. Cardiogenic Shock: A Rare Complication of Influenza. Cureus 2018;10:e2549.
  16. Rodrigo C, Leonardi-Bee J, Nguyen-Van-Tam J, Lim WS. Corticosteroids as adjunctive therapy in the treatment of influenza. Cochrane Database of Systematic Reviews. 2016 Mar 7;3:CD010406.