Clinical spectrum of category C swine flu in Indian children.

We read with interest the article by Das, et al. [1]. The article has lucidly elaborated the clinical profile of confirmed swine flu positive cases. However, authors state that the data might not be representative of the cases who were not tested for swine flu [1]. We share our data of children presenting as category ‘C’ cases collected retrospectively from August to December 2009 [2]. Category ‘C’ is defined by the presence of fever and cough/ sore throat and one or more of the following: (1) breathlessness, chest pain, drowsiness, hypotension, hemoptysis, cyanosis; (2) a severe disease as manifested by the red flag signs; and (3) worsening of underlying chronic conditions. These children were therefore tested and treated for swine flu according to MoHFW guidelines [2].