TY - JOUR
T1 - Development of acute ischemic stroke in a patient with acute respiratory distress syndrome (ARDS) resulting from H1N1 pneumonia
AU - Burad, Jyoti
AU - Bhakta, Pradipta
AU - George, Jojy
AU - Kiruchennan, Sinna
N1 - Copyright © 2012. Published by Elsevier B.V.
PY - 2012/3
Y1 - 2012/3
N2 - Pneumonia due to H1N1 infection is now very common. We report a case of ischemic stroke which arose subsequently to H1N1 influenza. The patient was a female who developed acute respiratory distress syndrome (ARDS) after H1N1 influenza, was ventilated as per standard protocol and started treatment with oseltamivir. When sedation was stopped during weaning from the ventilator, she was found to have left hemiparesis resulting from multiple infarctions in the brain. Contrary to thrombocytosis usually seen in acute influenza, the platelet counts in our patient actually dropped. We suspected that increased interleukin release or stickiness of the platelets might have caused this ischemic stroke. In the course of time, she had acceptable neurological recovery following treatment with aspirin and neuro-rehabilitation. This case report provides evidence that a rare, debilitating complication like stroke can occur in H1N1 infection. A high index of suspicion of the probability of a cerebrovascular event should be borne in mind and regular neurological assessment should be done in such cases.
AB - Pneumonia due to H1N1 infection is now very common. We report a case of ischemic stroke which arose subsequently to H1N1 influenza. The patient was a female who developed acute respiratory distress syndrome (ARDS) after H1N1 influenza, was ventilated as per standard protocol and started treatment with oseltamivir. When sedation was stopped during weaning from the ventilator, she was found to have left hemiparesis resulting from multiple infarctions in the brain. Contrary to thrombocytosis usually seen in acute influenza, the platelet counts in our patient actually dropped. We suspected that increased interleukin release or stickiness of the platelets might have caused this ischemic stroke. In the course of time, she had acceptable neurological recovery following treatment with aspirin and neuro-rehabilitation. This case report provides evidence that a rare, debilitating complication like stroke can occur in H1N1 infection. A high index of suspicion of the probability of a cerebrovascular event should be borne in mind and regular neurological assessment should be done in such cases.
KW - Brain Ischemia/etiology
KW - Female
KW - Humans
KW - Influenza A Virus, H1N1 Subtype
KW - Influenza, Human/complications
KW - Middle Aged
KW - Pneumonia, Viral/complications
KW - Respiratory Distress Syndrome/etiology
KW - Stroke/etiology
UR - http://www.scopus.com/inward/record.url?scp=84859801097&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84859801097&partnerID=8YFLogxK
U2 - 10.1016/j.aat.2012.02.002
DO - 10.1016/j.aat.2012.02.002
M3 - Article
C2 - 22500914
AN - SCOPUS:84859801097
SN - 1875-4597
VL - 50
SP - 41
EP - 45
JO - Acta Anaesthesiologica Taiwanica
JF - Acta Anaesthesiologica Taiwanica
IS - 1
ER -