I often get asked “why do kids need the flu shot?”, with the assumption that it’s not that risky for them to get the flu.

Well, have you heard of necrotizing encephalitis? 🧵
#MedTwitter #Pediatrics #neurotwitter
Acute Necrotizing Encephalitis (ANE) is a rare, but fatal complication of influenza infections in children. It presents with all the other symptoms of the flu, but also altered mental status and seizures (which may be difficult to initially distinguish from febrile seizures).
ANE leads to significant cerebral edema and can rapidly lead to cerebral herniation and death.
And for those that recover, less than 10% have complete neurologic recovery.
Image source: DOI:10.1093/cid/cit922 Image
And before you ask, no this is not just something written about in case reports. I have personally taken care of patients with influenza ANE.

Just another reason you should get your influenza #vaccine #FluShot

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More from @JustinRosatiMD

Nov 13
To the “Newborns need to get sick” crowd, allow me to introduce you to what you are introducing them to:
🧵
Parechovirus Meningoencephalitis Image
Rotavirus Encephalitis Image
Read 10 tweets

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