Ocular and Sleep‐Related Presentations During Pediatric Seasonal Influenza: A Clinical Commentary Including Kelleni’s Protocol

Seasonal influenza in children is usually recognized as an acute febrile respiratory illness. This commentary highlights recent clinical observations in which influenza-like illness was accompanied by conjunctivitis and sleep-related breathing abnormalities (new snoring and brief apnea-like events), sometimes accompanied by oxygen desaturation. Because these features are not classic manifestations of seasonal influenza, they are best framed as associated findings that may reflect upper-airway inflammation, post-nasal drip, or concomitant lower-respiratory involvement. The commentary also discusses the updated Egyptian/African Kelleni's protocol for outpatient management and calls for continuous monitoring for the associated symptoms by pediatric and ENT/sleep clinicians to determine whether an evolving pattern is emerging across settings.