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Letters A/H1N1 pandemic

Misdiagnosis in the time of meningitis

BMJ 2009; 339 doi: (Published 25 August 2009) Cite this as: BMJ 2009;339:b3423
  1. Thomas W Bourke, paediatric research fellow1,
  2. Michael D Shields, professor of child health2
  1. 1Royal Belfast Hospital for Sick Children, Belfast BT12 6BE
  2. 2Queen’s University Belfast, Institute of Clinical Science, Belfast BT12 6BJ
  1. tombourke{at}

    Distinguishing viral illness from serious bacterial infection is notoriously difficult. Many of the symptoms currently recommended as “screening” questions for A/H1N1 flu such as fever, coryza, sore throat, headache, muscle aches, vomiting, and diarrhoea may also be present …

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