• Med Princ Pract · Jan 2018

    Case Reports

    Focal Encephalitis, Meningitis, and Acute Respiratory Distress Syndrome Associated with Influenza A Infection.

    • Chih-Yu Liang, Chih-Hui Yang, and Jiun-Nong Lin.
    • Department of Emergency Medicine, E-Da Cancer Hospital, I-Shou University, Kaohsiung, Taiwan.
    • Med Princ Pract. 2018 Jan 1; 27 (2): 193-196.

    ObjectiveTo present a case of influenza A infection complicated with focal encephalitis, meningitis, and acute respiratory distress syndrome.Clinical Presentation And InterventionA 35-year-old woman presented with fever, headache, cough, and body aches. Seizures, altered consciousness, and dyspnea occurred later. A nasopharyngeal swab revealed a positive reaction for the influenza A antigen. Magnetic resonance imaging scans showed a T2 prolongation in the left frontoparietal subcortical white matter, which was consistent with focal encephalitis. She recovered after treatment with oseltamivir and antibiotics.ConclusionThis case report highlights focal encephalitis with concomitant pulmonary complications after influenza A infection.© 2018 The Author(s) Published by S. Karger AG, Basel.

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