tetano
Editor, Senior Moderator
- Luca Bartolini[SUP]1,2[/SUP]
, Silvia Ricci[SUP]3,4[/SUP] , Chiara Azzari[SUP]3,4[/SUP] , Maria Moriondo[SUP]3,4[/SUP] , Francesco Nieddu[SUP]3,4[/SUP] , Manuela L’Erario[SUP]5[/SUP] , Zaccaria Ricci[SUP]4,5[/SUP] , Gabriele Simonini[SUP]2,6[/SUP] , Marzia Mortilla[SUP]7[/SUP] , Giuseppe Indolfi[SUP]2,8[/SUP] , Carlotta Montagnani[SUP]9[/SUP] , Elena Chiappini[SUP]4,9[/SUP] , Luisa Galli[SUP]4,9[/SUP] , Renzo Guerrini[SUP]1,2[/SUP]
A severe outbreak of influenza A(H1N1pdm09) infection in seven children (median age: 52 months) occurred between December 2023 and January 2024 in Tuscany, Italy. Clinical presentation ranged from milder encephalopathy to acute necrotizing encephalopathy (ANE) with coma and multiorgan failure; one child died. This report raises awareness for clinicians to identify and treat early acute encephalopathy caused by H1N1 influenza and serves as a reminder of severe presentations of influenza in young children and the importance of vaccination.
https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2024.29.17.2400199
