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HK J Paediatr (New Series)
Vol 12. No. 3,
2007
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HK J Paediatr (New Series) 2007;12:199-201
Case Report
A Tragic Case of 'Flu'
KL Kwong, H Hui, CM Hui, TL Que Department of Paediatrics, Tuen Mun Hospital, Tsing Chung Koon Road, Tuen Mun, N.T., Hong Kong, China KL Kwong ( 鄺玲 ) MBBS, FHKAM H Hui ( 許嘉恩 ) MBBS, FHKAM CM Hui ( 許振明 ) MBBS, FHKAM Department of Pathology, Tuen Mun Hospital, Tsing Chung Koon Road, Tuen Mun, N.T., Hong Kong, China TL Que ( 郭德麟 ) MRC Path, FRC Path Correspondence to: Dr KL Kwong Received March 13, 2006
Abstract We report a 5-year old boy with influenza A-associated acute necrotising encephalopathy. This is the first reported case in Hong Kong. The diagnosis was based on clinical features, neuroimaging findings and isolation of influenza A virus from nasopharyngeal aspirate. The disease is characterised by fever, seizure, rapid deterioration in consciousness and radiologic involvement of bilateral thalami and cerebellum. Paediatricians taking care of children should be aware of this exceedingly rare but emerging presentation of influenza infections. Keyword : Acute necrotising encephalopathy; Influenza Abstract in Chinese
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