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Kitcharoen, S., Pattapongsin, M., Sawanyawisuth, K., Vincent, A. and Tiamkao, S. (2010) Neurologic manifestations of pandemic (H1N1) virus infection. Emerging Infectious Diseases, 16, 569-570. doi:10.3201/eid1603.091699

has been cited by the following article:

• TITLE: Concomitant H1N1 encephalopathy and acute ischemic stroke: A case report

  AUTHORS: Elzbieta Wirkowski, Jay Yasen, Christopher Bondoc

  KEYWORDS: Stroke; Infection

  JOURNAL NAME: World Journal of Cardiovascular Diseases, Vol.2 No.2, April 25, 2012

  ABSTRACT: Neurological complications of infection by the novel H1N1 virus have been described primarily in children. In adults, patients typically present with fever and respiratory symptoms, and may develop acute respi-ratory distress syndrome, sepsis and stroke. We present a 45-year-old man whose presentation of aphasia and right hemiplegia were incongruent with the findings on MRI of a small acute ischemic stroke. He rapidly developed multi-organ failure and died. Nasal swab PCR obtained prior to death returned positive for influenza virus A/H1N1. At autopsy, a small acute hemorrhagic infarction in the left parietal lobe was present. We suspect that this was a car-dio-embolic stroke, probably triggered by H1N1 myocarditis.