Development of acute ischemic stroke in a patient with acute respiratory distress syndrome (ARDS) resulting from H1N1 pneumonia

Jyoti Burad, Pradipta Bhakta, Jojy George, Sinna Kiruchennan

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2 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)41-45
Number of pages5
JournalActa Anaesthesiologica Taiwanica
Volume50
Issue number1
DOIs
Publication statusPublished - Mar 2012

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Keywords

  • ARDS
  • cerebral infarction
  • H1N1 infection
  • influenza A virus, H1N1 subtype
  • ischemic stroke
  • respiratory distress syndrome, adult

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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