Fatal avian influenza A (H5N1) in a child presenting with diarrhea followed by coma.
摘要：
In southern Vietnam, a four-year-old boy presented with severe diarrhea, followed by seizures, , and . The cerebrospinal fluid contained 1 white cell per cubic millimeter, normal levels, and increased levels of protein (0.81 g per liter). The diagnosis of A (H5N1) was established by isolation of the virus from cerebrospinal fluid, fecal, throat, and serum specimens. The patient's nine-year-old sister had died from a similar syndrome two weeks earlier. In both siblings, the clinical diagnosis was acute . Neither patient had respiratory symptoms at presentation. These cases suggest that the spectrum of H5N1 is wider than previously thought.
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关键词：
Lung Humans Influenza A virus Encephalitis, Viral Seizures Coma Acute Disease Diarrhea Fatal Outcome Child
DOI：
10.1056/NEJMoa044307
被引量：
年份：
2005
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