Clinical Profile and Outcome of Japanese Encephalitis in children Admitted with acute Encephalitis Syndrome in a tertiary Care hospital in Gaya, India

Paswan, Dr Wakil

doi:10.18535/jmscr/v5i4.187

jmscr

2017

DOI: 10.18535/jmscr/v5i4.187

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Clinical Profile and Outcome of Japanese Encephalitis in children Admitted with acute Encephalitis Syndrome in a tertiary Care hospital in Gaya, India

Dr Wakil Paswan¹

Abstract: Acute encephalitis syndrome (AES) is an important cause of mortality morbidity in children. We undertook the study for better understanding of clinical profile and outcome of AES in our settings. We retrospectively evaluated 151 Patients of AES admitted in our institute from June 2016 to Nov 2016 by evaluating their outcomes using the Glasgow Outcome Scale (GOS). Among 151 cases AES patients, 40(26.4%) were recovered completely (GOS V), while 68(45.5%) case had neurological sequelae (GOSII-IV

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2022

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A Clinico-Epidemiological Profile of Acute Encephalitis Syndrome(aes) in Children

Phirke

2022

ijsr

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BACKGROUND:According to World Health Organization (WHO) Denition- Clinically a case of Acute Encephalitis Syndrome is dened as a person of any age at any time of year, with the acute onset of fever and a change in mental status such as confusion, disorientation, coma or inability to talk and/or new onset of seizures. Initially Tuberculosis meningoencephalitis and bacterial meningoencephalitis were common causes but now there is a change in paradigm of Acute Encephalitis Syndrome to viral meningoencephalitis. METHODS: A descriptive observational study was undertaken at the department of pediatrics,in a tertiary care hospital in a city in Western Maharashtra. Children aged 0- 12 years fullling the WHO denition of AES were included as study subjects. Detailed history for necessary demographic characteristics and clinical examination ndings were tabulated and analyzed.To establish the relationship between two quantitative variables relative statistical analysis was applied. RESULTS:Atotal of 60 cases formed as study subjects. With higher proportion of subjects were between 5 to 12 years (46.7%).Majority of them being males 33 (55%).A majority of cases were reported during post-monsoon period 26 (43.3%).All cases had altered sensorium, 90% cases had fever. With the use of CSF parameters majority of cases had viral encephalitis(58.3%), followed by bacterial encephalitis(26.7%).Out of 60 cases 53 cases(88.3%) were immunized. CONCLUSIONS: The percentage of AES cases in this study was 1.55%. Most common age group affected is below 5 years to 12 years. Male children are more affected than females with a ratio of 1.4:1 .Most common presenting symptom was altered sensorium (100%) followed by fever (90%).Meningeal sign was present in 18 patients (30%).Out of 60 cases viral aetiology was found in 35 cases (58.3%), followed by bacterial aetiology in 16(26.7%).

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A Clinico-Epidemiological Profile of Acute Encephalitis Syndrome(aes) in Children

Phirke

2022

ijsr

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Clinical Profile and Outcome of Japanese Encephalitis in children Admitted with acute Encephalitis Syndrome in a tertiary Care hospital in Gaya, India

Cited by 1 publication

References 8 publications

A Clinico-Epidemiological Profile of Acute Encephalitis Syndrome(aes) in Children

A Clinico-Epidemiological Profile of Acute Encephalitis Syndrome(aes) in Children

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