İnfluenza A ya Bağlı Postenfeksiyöz Serebellar Ataksi ve Hepatit: Olgu Sunumu

Yıl 2021, Cilt: 7 Sayı: 2, 319 - 322, 12.07.2021

Latife Güder Melike Arslan Necati Balam

https://doi.org/10.53394/akd.958950

Öz

İnfluenza, sağlıklı çocuklarda genellikle kendi kendini sınırlayan bir enfeksiyon olarak karşımıza
çıkmaktadır; ancak birçok çocuk hastada komplikasyonlar görülür. İnfluenza virüsleri, solunum
sekresyonları ile temas (hapşırma, öksürme, konuşma, dokunma) veya kontamine nesneler yoluyla
insandan insana bulaşır. Genellikle; hava, damlacık ve temas yolu ile insandan insana bulaşır.
Titreme ile yükselen ateş, baş ağrısı, miyalji, halsizlik, iştahsızlık, fotofobi ve balgamsız öksürük sık
saptanan semptomlardır. İnfluenza enfeksiyonuna bağlı olarak miyozit, febril konvülsiyon, Reye
sendromu, aseptik menenjit, akut serebeller ataksi, transvers myelit, Guillain-Barré sendromu, akut
dissemine ensefalomyelit, miyokardit, perikardit ve hepatit gibi komplikasyonlar gelişebilmektedir. Bu
makalede influenza A ya bağlı gelişen post enfeksiyöz serebellit ve hepatit tanısı alan bir çocuk hasta
sunulmaktadır.

Anahtar Kelimeler

İnfluenza A, Post enfeksiyöz serebellit, Ataksi, Hepatit

Postinfectious Cerebellar Ataxia and Hepatitis due to Influenza A: A Case Report

Öz

Influenza often appears as a self-limiting infection in healthy children; but in many children
complications appear. Influenza viruses are spread from person to person, through contact with
respiratory secretions (through sneezing, coughing, talking, touching) or by contaminated objects.
Generally; transmitted from person to person by air, droplet and contact. Fever rising with chills,
headache, myalgia, weakness, loss of appetite, photophobia and cough without sputumare common
symptoms. Depending on the influenza infection, complications such as myositis, febrile convulsion,
Reye's syndrome, aseptic meningitis, acute cerebellar ataxia, transverse myelitis, Guillain-Barré
syndrome, acute disseminated encephalomyelitis, myocarditis, pericarditis and hepatitis may develop.
In this article, a pediatric patient diagnosed with post-infectious cerebellitis and hepatitis due to
influenza A is presented.

Anahtar Kelimeler

Influenza A, Post infectious cerebellitis, Ataxia, Hepatitis

Kaynakça

• KAYNAKLAR 1. Wright P. Influenzaviruses. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF. Nelson Textbook of Pediatrics. 18th edition, Philadelphia, Saunders Elsevier; 2007; 1384-87.
• 2. Paules C, Subbarao K. Influenza. Lancet 2017; 390: 697-08.
• 3. Silvennoinen H, Peltola V, Lehtinen P. Clinical presentation of influenza in unselected children treated as outpatients. Pediatr Infect Dis J 2009; 28:372–75.
• 4. Kondrich J, Rosenthal M. Influenza in children. CurrOpin Pediatr. 2017 Jun; 29(3):297-02.
• 5. Papic N, Pangercic A, Vargovic M, Barsic B, Vince A, Kuzmand I. Liver involvement during influenza infection: perspective on the 2009 influenza pandemic. Influenza OtherRespirViruses. 2012; 6(3):2-5.
• 6. Caffarelli M, Kimia AA, Torres AR. Acute ataxia in children: a review of the differential diagnosis and evaluation in the emergency department. Pediatr Neurol. 2016; 65:14-30.
• 7. Pedroso JL, Vale TC, Braga-Neto P, Dutra LA, França MC Jr, Barsottini OGP. Acute cerebellar ataxia: differential diagnosis and clinical approach. Arq Neuropsiquiatr. 2019; 77(3):184-93.
• 8. Naselli A, Pala G, Cresta F, Finetti M, Biancheri R, Renna S. Acute post-infectious cerebellar ataxia due to co-infection of human herpesvirus-6 and adenovirus mimicking myositi. Ital J Pediatr. 2014; 40: 98.
• 9. Kumar V. Influenza in Children.Indian J Pediatr 2017; 84(2):139-43.
• 10. Louie JK, Yang S, Samuel MC. Neuraminidase inhibitors for critically ill children with influenza. Pediatrics 2013; 132: 1539–45.