Fatal avian influenza A (H5N1) in a child presenting with diarrhea followed by coma.

  title={Fatal avian influenza A (H5N1) in a child presenting with diarrhea followed by coma.},
  author={Menno D. de Jong and Van Cam Bach and Tu Qui Phan and Minh Hien Vo and Tan Thanh Tran and Bach Hue Nguyen and Marcel Ghm Beld and Thi Phuong Thao Le and Huu Khanh Truong and Van Vinh Chau Nguyen and Tinh Hien Tran and Quang Ha Do and Jeremy J. Farrar},
  journal={The New England journal of medicine},
  volume={352 7},
In southern Vietnam, a four-year-old boy presented with severe diarrhea, followed by seizures, coma, and death. The cerebrospinal fluid contained 1 white cell per cubic millimeter, normal glucose levels, and increased levels of protein (0.81 g per liter). The diagnosis of avian influenza A (H5N1) was established by isolation of the virus from cerebrospinal fluid, fecal, throat, and serum specimens. The patient's nine-year-old sister had died from a similar syndrome two weeks earlier. In both… 

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