Autoimmune hemolytic anemia following influenza a pandemic H1N1 infection: A case report

Pritam Bandyopadhyay,Tamoghna Biswas,Mahuya Lahiri

doi:10.18231/j.ijpns.2020.005

Abstract

Autoimmune hemolytic anemia following influenza a pandemic H1N1 infection: A case report - IJPNS- Print ISSN No: - 2582-4023 Online ISSN No:- 2582-4031 Article DOI No:- 10.18231/j.ijpns.2020.005, IP Journal of Paediatrics and Nursing Science-J Paediatr Nurs Sci

Highlights

Influenza A/(H1N1)pdm[09] virus is a significant cause of mortality and morbidity across the globe, even in the post-pandemic period
While majority of the infected population recovers uneventfully, the severity is more pronounced in vulnerable age groups like children who are prone to suffer from complications of the disease
Case Report A 16 month old girl from South 24 Pargana district of West Bengal, India was admitted in our pediatric intensive care unit with a history of cough and coryza for five days followed by high grade fever and respiratory distress with inability to suck well for one day

Summary

Introduction

Influenza A/(H1N1)pdm[09] virus is a significant cause of mortality and morbidity across the globe, even in the post-pandemic period. We present a case of influenza A/(H1N1)pdm[09] with autoimmune hemolytic anemia, a rarely reported association. With the provisional diagnosis of right upper lobar pneumonia child was started on empirical antibiotics with intravenous amoxicillinclavulunate which was subsequently upgraded to intravenous meropenem and vancomycin due to the deteriorating respiratory status. The child was started on a course of antiviral oral oseltamivir 30 mg BD for five days. The child showed dramatic improvement within 48 hours of starting oseltamivir with complete subsidence of respiratory symptoms within five days. An increase in hemoglobin was apparent within five days after start of steroids, and the child was discharged in a clinically stable condition with tapering course of oral corticosteroids. Autoimmune hemolytic anemia following influenza a pandemic H1N1 infection

Discussion

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Conclusion