Journal of Inflammatory Diseases
The Official Journal of Qazvin University of Medical Sciences
Encephalitis/encephalopathy caused by H1N1 Influenza outbreak of 2017-2018 in Qazvin: A case report
Authors
Abstract
In some adults, infections result from influenza, which usually occurs as respiratory infections. In the central nervous system, influenza can cause aseptic meningitis and encephalitis/encephalopathy syndrome that may cause death or persistent brain complications. This report presents a case of encephalitis/encephalopathy caused by H1N1 virus in a 35-year-old man who was hospitalized with reduced consciousness and fever. The patient underwent empirical treatment of meningitis, acyclovir and oseltamivir. In the third day, the patient became alert at the hospital. The RT-PCR was positive for H1N1. In the cerebrospinal fluid sample, ten lymphocytes were seen, but protein and sugar were reported normal, and gram stain and culture were negative. Multiple punctate hyperintensities noted in subcortical white matter (in T2-weighted images of brain MRI) and EEG abnormality reported. Treatment with oseltamivir continued and patient was discharged with good general condition. Decreased level of consciousness can be due to influenza, especially during the epidemic.
Copyright
© 2024, Journal of Inflammatory Diseases. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.
Similar Articles
Comparison of Acute COVID-19 Encephalopathy with Seasonal Influenza A-associated Encephalopathy
Xu J, Li W, Zhu Y, Wang J, Li H. Comparison of Acute COVID-19 Encephalopathy with Seasonal Influenza A-associated Encephalopathy. Inn J Pediatr. 2024;34(3):e142946. doi: https://doi.org/10.5812/ijp-142946
Prevalence and Mortality of Influenza A (H1N1) Virus Among Patients With Acute Respiratory Infection in Southwest Iran
Alavi SM, Nashibi R, Moradpoor F. Prevalence and Mortality of Influenza A (H1N1) Virus Among Patients With Acute Respiratory Infection in Southwest Iran. Jundishapur J Microbiol. 2014;7(4):e9263. doi: https://doi.org/10.5812/jjm.9263
Clinical Manifestations of Patients with Novel H1N1 Infection Hospitalized in Infectious Disease Ward, Sina Hospital, Tabriz, Iran
Saleh P, Noshad H, Naghili B. Clinical Manifestations of Patients with Novel H1N1 Infection Hospitalized in Infectious Disease Ward, Sina Hospital, Tabriz, Iran. Arch Clin Infect Dis. 2010;5(4):. doi:
Statistical Study of Clinical Predictors of Influenza A (H1N1) in Iran
Faramarzi H, Khalily Zade M, Bazrgar M, Panahi N, Fathi B. Statistical Study of Clinical Predictors of Influenza A (H1N1) in Iran. Arch Clin Infect Dis. 2012;7(3):88-91. doi: https://doi.org/10.5812/archcid.14385
Herpes Simplex Virus Type 1 Encephalitis: A Descriptive, Cross Sectional Study, 2011 - 2016, Iran
Dehghan Manshadi SA, Teimourian S, Seifi A, Alinejadi Z, Sarahian N, et al. Herpes Simplex Virus Type 1 Encephalitis: A Descriptive, Cross Sectional Study, 2011 - 2016, Iran. Arch Neurosci. 2018;5(2):e62348. doi: https://doi.org/10.5812/archneurosci.62348
- Scopus by DOI: 0
Last Update: 6 days ago
- Scopus by Title: 0
Last Update: 6 days ago
- Scopus by Title (Ref): 0
Last Update: 6 days ago
- CrossRef: 0
Last Update: 1 day ago