{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T21:55:51Z","timestamp":1767650151158},"reference-count":13,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2010,2,25]],"date-time":"2010-02-25T00:00:00Z","timestamp":1267056000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Influenza Resp Viruses"],"published-print":{"date-parts":[[2010,5]]},"abstract":"<jats:p> <jats:italic>Please cite this paper as<\/jats:italic>: Noriega <jats:italic>et\u00a0al.<\/jats:italic> (2010) Pandemic influenza a (H1N1) 2009 with neurological manifestations, a case series. Influenza and Other Respiratory Viruses 4(3), 117\u2013120.<\/jats:p><jats:p><jats:bold>Objectives\u2002<\/jats:bold> Describe a series of atypical presentations of pandemic influenza A (H1N1) 2009.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> Description of case series using hospital records.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Six patients aged 1 to 65 years with confirmed pandemic influenza A (H1N1) 2009 infection presented with neurological complications within 2 to 5 days after the first signs of influenza\u2010like illness. All six were admitted with seizures or altered mental status. No abnormalities were found in brain scans or cerebral spinal fluid studies of any of the six. All were discharged without sequelae within days of admission.<\/jats:p><jats:p><jats:bold>Conclusions\u2002<\/jats:bold> This is only the second report of pandemic influenza presenting with neurological manifestations. Clinicians caring for patients when pandemic influenza is prevalent in their communities should maintain a high level of awareness of the potential atypical presentations with which this disease can appear.<\/jats:p>","DOI":"10.1111\/j.1750-2659.2010.00131.x","type":"journal-article","created":{"date-parts":[[2010,2,26]],"date-time":"2010-02-26T00:45:45Z","timestamp":1267145145000},"page":"117-120","source":"Crossref","is-referenced-by-count":14,"title":["Pandemic influenza A (H1N1) 2009 with neurological manifestations, a case series"],"prefix":"10.1111","volume":"4","author":[{"given":"Luis Miguel","family":"Noriega","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renato J.","family":"Verdugo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael","family":"Araos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Manuel","family":"Munita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Violeta","family":"D\u00edaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandra","family":"Marcotti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Perez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Gonzalez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Thompson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magdalena","family":"Canals","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnold","family":"Hoppe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony W.","family":"Mounts","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo A.","family":"Vial","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,4,5]]},"reference":[{"key":"e_1_2_4_2_2","first-page":"305","article-title":"Human infection with pandemic A (H1N1) 2009 influenza virus: clinical observations in hospitalized patients, Americas, July 2009 \u2013 update","volume":"84","author":"World Health Organization","year":"2009","journal-title":"Wkly Epidemiol Rec"},{"key":"e_1_2_4_3_2","first-page":"1","article-title":"Emergence of a novel swine origin influenza A (H1N1) virus in humans","volume":"361","author":"Dawood F","year":"2009","journal-title":"N Engl J Med"},{"key":"e_1_2_4_4_2","first-page":"1","article-title":"Swine\u2010origin influenza A (H1N1) virus infections in a school \u2013 New York City, April 2009","volume":"58","author":"Centers for Disease Control and Prevention (CDC)","year":"2009","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_4_5_2","doi-asserted-by":"publisher","DOI":"10.1086\/341407"},{"key":"e_1_2_4_6_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-0143"},{"key":"e_1_2_4_7_2","first-page":"773","article-title":"Neurologic complications associated with novel influenza A (H1N1) virus infection in children, Dallas, Texas, May 2009","volume":"58","author":"Centers for Disease Control and Prevention (CDC)","year":"2009","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1386-6532(03)00119-7"},{"key":"e_1_2_4_9_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.108.4.e63"},{"key":"e_1_2_4_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.160.7.1041"},{"key":"e_1_2_4_11_2","doi-asserted-by":"publisher","DOI":"10.1086\/367623"},{"key":"e_1_2_4_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/00365549850160828"},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.2165\/0002018-200831120-00006"},{"key":"e_1_2_4_14_2","unstructured":"US FDA.Meeting of the FDA Pediatric Advisory Committee 27 November 2007 [online]. 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