Il-10ra mutation as a risk factor of severe influenza-associated encephalopathy: A case report

Takashi Ishige, Yoshiko Igarashi, Reiko Hatori, Maiko Tatsuki, Yoji Sasahara, Takumi Takizawa, Hirokazu Arakawa

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Influenza-associated encephalitis and encephalopathy (IAE) is a severe complication of influenza infection with high morbidity and mortality. We present the case of a patient with IL-10RA mutation who developed encephalopathy after influenza infection. A 10-day-old boy developed recurrent fever and anal fistula. Growth failure gradually became apparent. He had been treated with antibiotics and elemental nutrition. However, the patient did not respond to the treatments. At 11 months, he suddenly developed shock with encephalopathy and multiple organ failures. He was then diagnosed with IAE. A cytokine study revealed elevated levels of IL-1 receptor antagonist, IL-2, IL-6, IL-8, IP-10, eotaxin, G-CSF, MCP-1, and IL-10. These cytokines are normally downregulated by IL-10. Genetic testing revealed a IL-10RA mutation at the 3? end of exon 4 (c.537G?A). These findings might reflect an increased risk of severe IAE in patients with IL-10RA mutation.

Original languageEnglish
Article numbere20173548
JournalPediatrics
Volume141
Issue number6
DOIs
Publication statusPublished - 2018 Jun

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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