Document Detail


Japanese encephalitis in children in northern Thailand.
MedLine Citation:
PMID:  2561717     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fifty-nine children with Japanese encephalitis admitted in Maharaj Nakhon Chiang Mai Hospital since 1984-1985 were studied. The male to female ratio was 1.18:1. The age range was between 1 to 14 years old with 74% in the age range of 6-14 years. The symptoms included change of consciousness (100%), fever (96%), headache (76%), convulsions (59%) and vomiting (52%). The neurologic signs, namely positive meningeal signs (61%), hyperreflexia (61%), positive Babinski's sign (49%) hemiplegia (42%), papilledema (22%), and other cranial nerve palsies (23%) were seen. Abnormal respiration were found in 23% and 8% of cases had hypertension. Most children (81%) had blood leukocytosis with predominant neutrophils. The average CSF white blood cell count was 200 cells per mm. with lymphocytosis in 76 percent of the patients. The average CSF protein was higher than normal. Almost all cases had normal CSF sugar levels. The JEV antibody response, mostly primary type, Occurred in about 62 percent of cases. All children received symptomatic and supportive treatment, such as antipyretics, anticonvulsants, anticerebral edema agents, adequate respiration and nutrition and physical and occupational therapies. Associated complications were treated according to the individual's need. The mortality rate and neurological sequelae were found in 17% and 57% of cases respectively. Eighteen percent of the patients suffered severe neurological sequelae. The neurological sequelae included memory deficit (46%), mental retardation (42%), hemiplegia (34%), emotional and behavioral disturbance (24%), epilepsy (20%), motor aphasia (16%), cranial nerve palsies (16%), involuntary limb movement (8%) and blindness (2%).
Authors:
B Poneprasert
Related Documents :
19207297 - Drooling in cerebral palsy: hypersalivation or dysfunctional oral motor control?
17510457 - Clinical significance of microbleeds in subcortical vascular dementia.
17108797 - The effects of therapeutic taping on gross motor function in children with cerebral palsy.
1345827 - Cerebromeningeal haemophagocytic lymphohistiocytosis.
2297597 - Performance of closed head-injured children on a naming task.
25460387 - Playing by the rules: self-interest information influences children's trust and trustwo...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Southeast Asian journal of tropical medicine and public health     Volume:  20     ISSN:  0125-1562     ISO Abbreviation:  Southeast Asian J. Trop. Med. Public Health     Publication Date:  1989 Dec 
Date Detail:
Created Date:  1990-08-16     Completed Date:  1990-08-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0266303     Medline TA:  Southeast Asian J Trop Med Public Health     Country:  THAILAND    
Other Details:
Languages:  eng     Pagination:  599-603     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Faculty of Medicine, Maharaj Nakhon Chiang Mai Hospital, Chiang Mai University, Thailand.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Age Factors
Animals
Child
Child, Preschool
Encephalitis, Japanese / diagnosis,  epidemiology*,  mortality
Epidemiologic Methods
Female
Hospitalization
Humans
Infant
Male
Prognosis
Sex Factors
Thailand / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  A review of Japanese-B virus encephalitis in Malaysia.
Next Document:  Various rare tumors of the lung