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Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e3181f743a4
Case Reports

Acute Myositis With Prolonged Hyperthermia After Severe Influenza A (H1N1) Pneumonia in 2 Obese Patients

Martin-Iguacel, Raquel MD*; Bresil, Piergiorgio MD†; Teglbjærg, Peter Stubbe MD‡; Huremovic, Jasmina MD§

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Abstract

Influenza-induced myositis is a well-known complication in pediatric patients but is rarely reported in adults, most cases being described during large influenza epidemics. We report 2 cases of myositis in adults in association with the novel influenza A (H1N1) virus pandemic. The clinical picture developed in the convalescence period of a severe influenza A (H1N1) pneumonia in 2 obese patients and was associated with prolonged hyperthermia and requirement of a long stay in the intensive care unit. The presenting of theses cases illustrate one of the different extrapulmonary complications of influenza A (H1N1) virus infection and is meant to increase awareness of the full clinical picture among clinicians.

© 2011 Lippincott Williams & Wilkins, Inc.

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