GASTRIC 'FLU INFLUENZA B CAUSING ABDOMINAL SYMPTOMS IN CHILDREN
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Cited by (44)
Sensitivity and specificity of surveillance case definitions in detection of influenza and respiratory syncytial virus among hospitalized patients, New Zealand, 2012–2016
2022, Journal of InfectionCitation Excerpt :However, the tradeoff is creating a more complicated case definition that may be difficult to implement systematically on a global scale. Although the cough or shortness of breath case definition and cough are sensitive for identifying influenza, some very young or old individuals with influenza illness can present for care without respiratory symptoms.28,29 Multi-country cohort data suggest that one-third of hospitalized influenza-positive infants are discharged with non-respiratory diagnoses including like febrile seizures, sepsis-like-syndrome, or dehydration.17
Molecular and biological characterization of influenza A viruses isolated from human fecal samples
2021, Infection, Genetics and EvolutionCitation Excerpt :However, extrapulmonary symptoms are commonly observed in patients during the course of infection. About one third of influenza patients show gastrointestinal symptoms which may be a sign of severe infection in many cases (Kaji et al., 2003; Kerr et al., 1975; Morris et al., 2012; To et al., 2010b; Wie et al., 2013). Further, viral RNA, and occasionally viable viruses, have been detected in stools of patients with confirmed influenza infection (Wootton et al., 2006; Tamura et al., 2010; Wootton et al., 2014; Dilantika et al., 2010; To et al., 2010b).
Seasonal influenza: The burden of disease in children
2011, VaccineCitation Excerpt :The disease signs and symptoms are not specific, and they can also be caused by other respiratory viruses than influenza viruses [51,52]. Moreover, in contrast to adolescents and adults, children with influenza A and B infections often report gastro-intestinal symptoms [53–56]. On the other hand, headache and myalgia that are typically reported by adults infected with influenza viruses are present only in a minority of children able to express such symptoms [57–59].
Novel influenza A (H1N1): Clinical features of pediatric hospitalizations in two successive waves
2011, International Journal of Infectious DiseasesCitation Excerpt :The high frequency of patients with underlying conditions (59%) among hospitalized children has also been noted in other reports about novel influenza A (H1N1) in adults29,37,38 and with seasonal influenza among children;35,36 this reinforces the need to prioritize early immunization programs and antiviral therapy in this group. We also found a high frequency (47%) of digestive symptoms, known to be more frequent among children than adults for seasonal influenza39 and more common for influenza B infection among children.40 Some influenza H1N1-infected children presented with gastroenteritis without respiratory symptoms and were hospitalized for dehydration, therefore clinicians should keep in mind that respiratory isolation methods should be applied for patients with gastrointestinal symptoms in the setting of influenza outbreaks.
Swine influenza (H1N1) and acute appendicitis
2010, Heart and Lung: Journal of Acute and Critical CareCitation Excerpt :Therefore, in view of this case and previously reported cases during influenza epidemics, it seems the increased incidence of acute bacterial appendicitis during influenza epidemics/pandemics is not due to direct involvement of the appendix by the influenza virus. We agree with clinicians who previously suggested that acute appendicitis during an influenza epidemic/pandemic may be a secondary effect of either the immunosuppression by the influenza virus or the sequential effect of bacterial infection after the initial viral infection.7-10 During the swine influenza (H1N1) pandemic, clinicians should remain vigilant that there may be an increased incidence of acute bacterial appendicitis.
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Present address: Hospital for Sick Children, London WC1.