Skip to main content
Erschienen in: Indian Journal of Pediatrics 1/2019

19.09.2018 | Review Article

Diagnosis and Management of Acute Encephalitis in Children

verfasst von: Satinder Aneja, Suvasini Sharma

Erschienen in: Indian Journal of Pediatrics | Ausgabe 1/2019

Einloggen, um Zugang zu erhalten

Abstract

Acute encephalitis is a common cause of death and neurodevelopmental problems in children. The causative agents are numerous including infectious agents such as viruses, bacteria, mycobacteria and protozoa; para-infectious and immune mediated disorders such as acute disseminated encephalomyelitis (ADEM) and autoimmune encephalitis, especially the recently described anti-NMDA receptor encephalitis. Also, many viral associated encephalopathies such as acute necrotizing encephalopathy can mimic the presentation of acute encephalitis. In this article, authors describe the approach to the diagnosis and management of acute encephalitis in children.
Literatur
1.
Zurück zum Zitat Kneen R, Michael BD, Menson E, et al; National Encephalitis Guidelines Development and Stakeholder Groups. Management of suspected viral encephalitis in children - Association of British Neurologists and British Paediatric Allergy Immunology and Infection Group national guidelines. J Infect. 2012;64:449–77. Kneen R, Michael BD, Menson E, et al; National Encephalitis Guidelines Development and Stakeholder Groups. Management of suspected viral encephalitis in children - Association of British Neurologists and British Paediatric Allergy Immunology and Infection Group national guidelines. J Infect. 2012;64:449–77.
3.
Zurück zum Zitat Bagdure D, Custer JW, Rao S, et al. Hospitalized children with encephalitis in the United States: a pediatric health information system database study. Pediatr Neurol. 2016;61:58–62. Bagdure D, Custer JW, Rao S, et al. Hospitalized children with encephalitis in the United States: a pediatric health information system database study. Pediatr Neurol. 2016;61:58–62.
4.
Zurück zum Zitat Sharma S, Mishra D, Aneja S, Kumar R, Jain A, Vashishtha VM. Consensus guidelines on evaluation and management of suspected acute viral encephalitis in children in India. Indian Pediatr. 2012;49:897–910.CrossRefPubMed Sharma S, Mishra D, Aneja S, Kumar R, Jain A, Vashishtha VM. Consensus guidelines on evaluation and management of suspected acute viral encephalitis in children in India. Indian Pediatr. 2012;49:897–910.CrossRefPubMed
5.
Zurück zum Zitat Anukumar B, Sapkal GN, Tandale BV, Balasubramanian R, Gangale D. West Nile encephalitis outbreak in Kerala, India, 2011. J Clin Virol. 2014;61:152–5.CrossRefPubMed Anukumar B, Sapkal GN, Tandale BV, Balasubramanian R, Gangale D. West Nile encephalitis outbreak in Kerala, India, 2011. J Clin Virol. 2014;61:152–5.CrossRefPubMed
6.
Zurück zum Zitat Karmarkar SA, Aneja S, Khare S, Saini A, Seth A, Chauhan BK. A study of acute febrile encephalopathy with special reference to viral etiology. Indian J Pediatr. 2008;75:801–5.CrossRefPubMed Karmarkar SA, Aneja S, Khare S, Saini A, Seth A, Chauhan BK. A study of acute febrile encephalopathy with special reference to viral etiology. Indian J Pediatr. 2008;75:801–5.CrossRefPubMed
7.
Zurück zum Zitat Mittal M, Thangaraj JWV, Rose W, et al. Scrub typhus as a cause of acute encephalitis syndrome, Gorakhpur, Uttar Pradesh, India. Emerg Infect Dis. 2017;23:1414–6. Mittal M, Thangaraj JWV, Rose W, et al. Scrub typhus as a cause of acute encephalitis syndrome, Gorakhpur, Uttar Pradesh, India. Emerg Infect Dis. 2017;23:1414–6.
8.
Zurück zum Zitat Mizuguchi M, Yamanouchi H, Ichiyama T, Shiomi M. Acute encephalopathy associated with influenza and other viral infections. Acta Neurol Scand. 2007;115:45–56.CrossRefPubMed Mizuguchi M, Yamanouchi H, Ichiyama T, Shiomi M. Acute encephalopathy associated with influenza and other viral infections. Acta Neurol Scand. 2007;115:45–56.CrossRefPubMed
9.
Zurück zum Zitat Shrivastava A, Kumar A, Thomas JD, et al. Association of acute toxic encephalopathy with litchi consumption in an outbreak in Muzaffarpur, India, 2014: a case-control study. Lancet Glob Health. 2017;5:e458–66. Shrivastava A, Kumar A, Thomas JD, et al. Association of acute toxic encephalopathy with litchi consumption in an outbreak in Muzaffarpur, India, 2014: a case-control study. Lancet Glob Health. 2017;5:e458–66.
10.
Zurück zum Zitat Ooi MH, Wong SC, Lewthwaite P, Cardosa MJ, Solomon T. Clinical features, diagnosis, and management of enterovirus 71. Lancet Neurol. 2010;9:1097–105.CrossRefPubMed Ooi MH, Wong SC, Lewthwaite P, Cardosa MJ, Solomon T. Clinical features, diagnosis, and management of enterovirus 71. Lancet Neurol. 2010;9:1097–105.CrossRefPubMed
11.
Zurück zum Zitat Graus F, Titulaer MJ, Balu R, et al. A clinical approach to diagnosis of autoimmune encephalitis. Lancet Neurol. 2016;15:391–404. Graus F, Titulaer MJ, Balu R, et al. A clinical approach to diagnosis of autoimmune encephalitis. Lancet Neurol. 2016;15:391–404.
12.
Zurück zum Zitat Britton PN, Blyth CC, Macartney K, Dale RC, Li-Kim-Moy J, Khandaker G, et al. The spectrum and burden of influenza-associated neurological disease in children: combined encephalitis and influenza sentinel site surveillance from Australia, 2013-2015. Clin Infect Dis. 2017;65:653–60.CrossRefPubMed Britton PN, Blyth CC, Macartney K, Dale RC, Li-Kim-Moy J, Khandaker G, et al. The spectrum and burden of influenza-associated neurological disease in children: combined encephalitis and influenza sentinel site surveillance from Australia, 2013-2015. Clin Infect Dis. 2017;65:653–60.CrossRefPubMed
13.
Zurück zum Zitat Carod-Artal FJ, Wichmann O, Farrar J, Gascon J. Neurological complications of dengue virus infection. Lancet Neurol. 2013;12:906–19.CrossRefPubMed Carod-Artal FJ, Wichmann O, Farrar J, Gascon J. Neurological complications of dengue virus infection. Lancet Neurol. 2013;12:906–19.CrossRefPubMed
14.
Zurück zum Zitat Abbas A, Garg A, Jain R, Mazibrada G, Jacob S. Extreme delta brushes and BIRDs in the EEG of anti-NMDA-receptor encephalitis. Pract Neurol. 2016;16:326–7.CrossRefPubMed Abbas A, Garg A, Jain R, Mazibrada G, Jacob S. Extreme delta brushes and BIRDs in the EEG of anti-NMDA-receptor encephalitis. Pract Neurol. 2016;16:326–7.CrossRefPubMed
15.
Zurück zum Zitat Mohammad SS, Soe SM, Pillai SC, et al. Etiological associations and outcome predictors of acute electroencephalography in childhood encephalitis. Clin Neurophysiol. 2016;127:3217–24. Mohammad SS, Soe SM, Pillai SC, et al. Etiological associations and outcome predictors of acute electroencephalography in childhood encephalitis. Clin Neurophysiol. 2016;127:3217–24.
16.
Zurück zum Zitat Kamei S, Sekizawa T, Shiota H, et al. Evaluation of combination therapy using aciclovir and corticosteroid in adult patients with herpes simplex virus encephalitis. J Neurol Neurosurg Psychiatry. 2005;76:1544–9. Kamei S, Sekizawa T, Shiota H, et al. Evaluation of combination therapy using aciclovir and corticosteroid in adult patients with herpes simplex virus encephalitis. J Neurol Neurosurg Psychiatry. 2005;76:1544–9.
17.
Zurück zum Zitat Martinez-Torres F, Menon S, Pritsch M, et al; GACHE Investigators. Protocol for German trial of Acyclovir and corticosteroids in Herpes-simplex-virus-encephalitis (GACHE): a multicenter, multinational, randomized, double-blind, placebo-controlled German, Austrian and Dutch trial [ISRCTN45122933]. BMC Neurol. 2008;8:40. Martinez-Torres F, Menon S, Pritsch M, et al; GACHE Investigators. Protocol for German trial of Acyclovir and corticosteroids in Herpes-simplex-virus-encephalitis (GACHE): a multicenter, multinational, randomized, double-blind, placebo-controlled German, Austrian and Dutch trial [ISRCTN45122933]. BMC Neurol. 2008;8:40.
18.
Zurück zum Zitat Hoke CH Jr, Vaughn DW, Nisalak A, et al. Effect of high-dose dexamethasone on the outcome of acute encephalitis due to Japanese encephalitis virus. J Infect Dis. 1992;165:631–7.CrossRefPubMed Hoke CH Jr, Vaughn DW, Nisalak A, et al. Effect of high-dose dexamethasone on the outcome of acute encephalitis due to Japanese encephalitis virus. J Infect Dis. 1992;165:631–7.CrossRefPubMed
19.
Zurück zum Zitat Wang SM, Lei HY, Huang MC, et al. Modulation of cytokine production by intravenous immunoglobulin in patients with enterovirus 71-associated brainstem encephalitis. J Clin Virol. 2006;37:47–52. Wang SM, Lei HY, Huang MC, et al. Modulation of cytokine production by intravenous immunoglobulin in patients with enterovirus 71-associated brainstem encephalitis. J Clin Virol. 2006;37:47–52.
20.
Zurück zum Zitat Caramello P, Canta F, Balbiano R, et al. Role of intravenous immunoglobulin administration in Japanese encephalitis. Clin Infect Dis. 2006;43:1620–1. Caramello P, Canta F, Balbiano R, et al. Role of intravenous immunoglobulin administration in Japanese encephalitis. Clin Infect Dis. 2006;43:1620–1.
21.
Zurück zum Zitat Iro MA, Sadarangani M, Absoud M, et al. ImmunoglobuliN in the treatment of encephalitis (IgNiTE): protocol for a multicentre randomised controlled trial. BMJ Open. 2016;6:e012356. Iro MA, Sadarangani M, Absoud M, et al. ImmunoglobuliN in the treatment of encephalitis (IgNiTE): protocol for a multicentre randomised controlled trial. BMJ Open. 2016;6:e012356.
22.
Zurück zum Zitat Rotbart HA, Webster AD. Treatment of potentially life-threatening enterovirus infections with pleconaril. Clin Infect Dis. 2001;32:228–35.CrossRefPubMed Rotbart HA, Webster AD. Treatment of potentially life-threatening enterovirus infections with pleconaril. Clin Infect Dis. 2001;32:228–35.CrossRefPubMed
23.
Zurück zum Zitat Kumar R, Tripathi P, Baranwal M, Singh S, Tripathi S, Banerjee G. Randomized, controlled trial of oral ribavirin for Japanese encephalitis in children in Uttar Pradesh, India. Clin Infect Dis. 2009;48:400–6. Kumar R, Tripathi P, Baranwal M, Singh S, Tripathi S, Banerjee G. Randomized, controlled trial of oral ribavirin for Japanese encephalitis in children in Uttar Pradesh, India. Clin Infect Dis. 2009;48:400–6.
24.
Zurück zum Zitat Kumar R, Basu A, Sinha S, et al. Role of oral minocycline in acute encephalitis syndrome in India - a randomized controlled trial. BMC Infect Dis. 2016;16:67.CrossRefPubMedPubMedCentral Kumar R, Basu A, Sinha S, et al. Role of oral minocycline in acute encephalitis syndrome in India - a randomized controlled trial. BMC Infect Dis. 2016;16:67.CrossRefPubMedPubMedCentral
Metadaten
Titel
Diagnosis and Management of Acute Encephalitis in Children
verfasst von
Satinder Aneja
Suvasini Sharma
Publikationsdatum
19.09.2018
Verlag
Springer India
Erschienen in
Indian Journal of Pediatrics / Ausgabe 1/2019
Print ISSN: 0019-5456
Elektronische ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-018-2775-0

Weitere Artikel der Ausgabe 1/2019

Indian Journal of Pediatrics 1/2019 Zur Ausgabe

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.