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As the 2009–2010 influenza season approaches, the CDC and others continue to report new clinical information as it becomes available and update preventive, diagnostic, and therapeutic recommendations.
The most recent clinical update adds to our understanding of a possible presentation of H1N1 influenza. The Dallas County Department of Health and Human Services reported four cases in children (age range, 7–17 years; all male) hospitalized for H1N1-associated neurological complications between May 18 and 28, 2009. None of the children had comorbidities. Of those with neurological complications, one patient had a seizure only, two had encephalopathy only, and one had both complications. Cerebrospinal fluid parameters were normal, except for sli…