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KMID : 0391520160240040240
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Journal of the Korean Child Neurology Society
2016 Volume.24 No. 4 p.240 ~ p.245
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Neurologic and Neuromuscular Complications of Seasonal Influenza in Children
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Choi Jun-Sik
Kim Hyo-Jeong
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Abstract
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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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KEYWORD
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Influenza, Human, Encephalitis, Viral, Optic neuritis, Child
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