tetano
Editor, Senior Moderator
Intern Med
. 2020 Jun 9.
doi: 10.2169/internalmedicine.4312-19. Online ahead of print.
Successful Outcome in an Adult Patient With Influenza-associated Hemorrhagic Shock and Encephalopathy Syndrome
Yasuhiro Komori[SUP] 1 [/SUP], Naohiro Uchida[SUP] 1 [/SUP], Naoko Soejima[SUP] 2 [/SUP], Yasuhiro Fujita[SUP] 2 [/SUP], Hiroyuki Matsumoto[SUP] 3 [/SUP]
Affiliations
Abstract
A 50-year-old woman presented with coma and hemorrhagic shock. A rapid influenza antigen test revealed influenza A infection; other laboratory examinations ruled out any other suspected infections. She was diagnosed with hemorrhagic shock and encephalopathy syndrome (HSES) induced by influenza A. She was administered methylprednisolone pulse therapy and peramivir. Subsequently, she was discharged without any sequelae. Only a few cases of influenza-induced HSES have been reported, and the clinical outcomes were very poor. We herein report a successfully treated adult case of influenza-induced HSES and review this rare syndrome.
Keywords: HSES; Hemorrhagic shock and encephalopathy syndrome; IAE; Influenza; Influenza-associated encephalopathy.
. 2020 Jun 9.
doi: 10.2169/internalmedicine.4312-19. Online ahead of print.
Successful Outcome in an Adult Patient With Influenza-associated Hemorrhagic Shock and Encephalopathy Syndrome
Yasuhiro Komori[SUP] 1 [/SUP], Naohiro Uchida[SUP] 1 [/SUP], Naoko Soejima[SUP] 2 [/SUP], Yasuhiro Fujita[SUP] 2 [/SUP], Hiroyuki Matsumoto[SUP] 3 [/SUP]
Affiliations
- PMID: 32522919
- DOI: 10.2169/internalmedicine.4312-19
Abstract
A 50-year-old woman presented with coma and hemorrhagic shock. A rapid influenza antigen test revealed influenza A infection; other laboratory examinations ruled out any other suspected infections. She was diagnosed with hemorrhagic shock and encephalopathy syndrome (HSES) induced by influenza A. She was administered methylprednisolone pulse therapy and peramivir. Subsequently, she was discharged without any sequelae. Only a few cases of influenza-induced HSES have been reported, and the clinical outcomes were very poor. We herein report a successfully treated adult case of influenza-induced HSES and review this rare syndrome.
Keywords: HSES; Hemorrhagic shock and encephalopathy syndrome; IAE; Influenza; Influenza-associated encephalopathy.