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H6N1 bird flu: new emerging infection that the

neurologist has to prepare for management

Gripe aviária H6N1: uma nova infecção emergente que o neurologista tem que estar

preparado para acompanhar

Sir,

The newest emerging infection of our world is the new

H6N1 bird flu, which was firstly reported this month

(November, 2013) from Taiwan

1,2

. Although there is only

one published case, it is expected that there will be the

con-tinuum. For any new emerging infection, Wiwanitkit and

Wiwanitki previously noted for the necessity for the

neuro-logist to focus on the possible neurological complication

3

.

For the present scenario of emerging H6N1 influenza, the

attention is also needed. Based on present information, the

indexed human case showed no specific neurological

mani-festation. In the previous report, in animal model, the H6N1

bird flu affected the neurological system less than H5N1 bird

flu done

4

. Nevertheless, since the infection is a new cross

spe-cies infection to human, the effect of the new virus is still

unknown and further study on this topic is suggested.

Err Hai

1

, Wiwanitkit Viroj

2

References

1. Yuan J, Zhang L, Kan X, Jiang L, Yang J, Guo Z, Ren Q. Origin and mole-cular characteristics of a novel 2013 avian influenza A (H6N1) virus causing human infection in Taiwan. Clin Infect Dis 2013;57:1367-1368.

2. Shi W, Shi Y, Wu Y, Liu D, Gao GF. Origin and molecular characterization of the human-infecting H6N1 influenza virus in Taiwan. Protein Cell 2013;4:846-853.

3. Wiwanitkit S, Wiwanitkit V. Brain involvement in H7N9 bird flu: a topic for consideration. Arq Neuropsiquiatr 2013;71:825.

4. Leneva IA, Goloubeva O, Fenton RJ, Tisdale M, Webster RG. Efficacy of zanamivir against avian influenza A viruses that possess genes encoding H5N1 internal proteins and are pathogenic in mammals. Antimicrob Agents Chemother 2001;45:1216-1224.

1Sanitation 1 Medical Academic Center, Bangkok Thailand;

2Visiting professor, Hainan Medical University, China; Visiting professor, Faculty of Medicine, University of Nis, Serbia; Adjunct professor, Joseph Ayobabalola University, Nigeria.

Correspondence:Hai Err; Sanitation 1 Medical Academic Center; Bangkok Thailand; E-mail: [email protected]

Conflict of interest:There is no conflict of interest to declare. Received 18 November 2013; Accepted 09 December 2013.

DOI:10.1590/0004-282X20130246

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