Influenza A (H1N1) infection with acute kidney injury and hypoglossal nerve paralysis
The most common influenza A (H1N1)-associated complications are pulmonary, but other organ systems, such as kidneys and nervous system can be affected too. There are no sufficient data about the development of acute kidney injury (AKI) related to A (H1N1) infection. Neurological complications, especially encephalitis with or without seizures, have been documented among pediatric patients, but data of influenza A (H1N1) related focal neurological deficits in adults are scarce. Here we describe a previously fit 46-year-old male patient with influenza A (H1N1) infection presenting with multi-organ failure (acute respiratory distress syndrome and AKI) accompanied by muscular and unusual neurological complications. We found hypoglossal nerve paralysis and unilateral peroneal nerve paralysis in the course of the influenza A (H1N1) infection, but with no permanent neurological sequelae. Renal function was fully recovered one month after patient’s discharge. Keywords : influenza A (H1N1), pulmonary complications, acute kidney injury, hypoglossal nerve paralysis