A young girl with suspected encephalitis caused by avian influenza A (H5N1) infection in Indonesia

Juniatiningsih, Anita
Setyanto, Darmawan B
Setiawaty, Vivi
Sedyaningsih, Endang R

Paediatrica Indonesiana
Vol 50 No 1 (2010): January 2010

A previously healthy two-year-old girl was admitted to the Emergency Unit of Cipto Mangunkusumo Hospital (CMH) Jakarta, on March 23, 2006 with a deterioration of consciousness since four days before admission. She was referred by a district hospital with a working diagnosis of suspect encephalitis, gastroenteritis, and febrile convulsion. History taken from her parents revealed that since eight days before admission she had a mild fever and cough, without rhinorrhea. Her appetite, defecation and urination were normal. Patient was taken to a clinic, where she was diagnosed as having an upper respiratory tract infection, and was given three kinds of medicine (i.e., antipyretic, expectorant and antibiotic).