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Rapid detection and clinical spectrum of the novel influenza H1N1 strain in a diabetic pediatric population

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  • Rapid detection and clinical spectrum of the novel influenza H1N1 strain in a diabetic pediatric population

    J Med Virol. 2019 May 3. doi: 10.1002/jmv.25497. [Epub ahead of print]
    Rapid detection and clinical spectrum of the novel influenza H1N1 strain in a diabetic pediatric population.

    Ammar RA1, Montasser K2, Ezz H1, Albishi LA3, Ghareeb A4.
    Author information

    Abstract

    OBJECTIVES:

    H1N1 infection in diabetic patients is of special concern and serious interest, since the virus can place individuals, especially children, at great possible risk of subsequently developing type 1 diabetes. This work aims to describe the demographic characteristics, clinical features and severity of illness of children with type 1 diabetes mellitus (DM), compare the incidence of pandemic H1N1 virus in children, with that of the general pediatric population with influenza-like symptoms, and identify the complications of H1N1 virus infection associated with glycemic control.
    METHODS:

    The present study included 45 children and adolescents with type 1 diabetes, who were subject to clinical and laboratory investigations. Another thirty healthy adolescents and children with a mean age of (10.43? 4.38) years were included as a control group. H1N1 reverse transcriptase quantitative PCR (RT-Q PCR) was tested for H1N1 virus detection.
    RESULTS:

    Diabetic patients positive for (H1N1) showed significantly higher random blood sugar levels than diabetic patients negative for (H1N1). Moreover, the H1N1- positive patients had significantly higher hemoglobin (Hb) g/dl, platelet counts, total leucocyte counts (TLCs) and CRP levels. Newly diagnosed patients who tested positive for (H1N1) and DKA had significantly higher random blood sugar levels and TLCs than patients who presented with hyperglycemia.
    CONCLUSION:

    RT-PCR is a rapid and specific method for influenza A (H1N1) virus diagnosis. Additionally, early administration of oseltamivir no later than 48 hours after infection is highly recommended in either diabetic or DKA patients suspected of having H1N1. This article is protected by copyright. All rights reserved.
    This article is protected by copyright. All rights reserved.


    KEYWORDS:

    2009 H1N1; DKA; Diabetes mellitus; Influenza A; Oseltamivir; RT-PCR

    PMID: 31054173 DOI: 10.1002/jmv.25497
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