Nephrotic Syndrome Following H1N1 Influenza in a 3-Year-Old Boy

作者：Ferrara Pietro^*; Gatto Antonio; Vitelli Ottavio; Liberatore Pio; del Bufalo Francesca; Bottaro Giorgia

来源：Iranian Journal of Pediatrics, 2012, 22(2): 265-268.

• Influenza A
• H1N1
• Nephrotic Syndrome
• Oseltamivir
• Prednisone

Background: The pandemic influenza A/H1N1, spread through the world in 2009, producing a serious epidemic in Italy. Complications are generally limited to patients at the extremes of age (<6 months or >65 years) and those with comorbid medical illness. The most frequent complications of influenza involve the respiratory system.
Case Presentation: A 3-year-old boy with a recent history of upper respiratory tract infection developed a nephrotic syndrome. Together with prednisone, furosemide and albumin bolus,. a therapy with oseltamivir was started since the nasopharyngeal swab resulted positive for influenza A/H1N1. Clinical conditions and laboratory findings progressively improved during hospitalization;becoming normal during a 2 month follow up.
Conclusion: The possibility of a renal involvement after influenza A/H1N1 infection should be considered.

• 出版日期2012-6