1,253 results match your criteria: "Pediatrics Meningitis and Encephalitis"

Background: Arterial spin labeling (ASL) is a noninvasive brain perfusion magnetic resonance imaging (MRI) technique that has not been assessed in dogs with meningoencephalitis of unknown origin (MUO).

Hypothesis/objectives: Assess brain perfusion changes characteristics before and after medical treatment, and investigate the role of ASL perfusion in the diagnosis and prognosis of MUO in dogs.

Animals: Thirty-one dogs with presumed MUO.

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Background: Chitinase 3-like-1 (CHI3L1), also known as YKL-40, is a potential biomarker for neuroinflammatory conditions. It is upregulated in Alzheimer's disease, multiple sclerosis, and traumatic brain injury. However, its involvement in pediatric tick-borne encephalitis (TBE) has not been addressed yet.

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  • Enterovirus infections can impact the central nervous system, causing conditions like meningitis and encephalitis, and this study aimed to detail these infections for Moroccan patients.
  • Conducted from January 2021 to March 2023 at Ibn Sina University Hospital, the study analyzed 1,479 cerebrospinal fluid samples, finding enterovirus in just 19 patients, mostly young children and males.
  • Common symptoms included fever and headache, and while many cases showed lymphocytic patterns in CSF analysis, some results could mimic bacterial infections, highlighting the importance of using multiplex PCR for accurate diagnosis.
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  • Human parechoviruses (HPeVs) are significant causes of central nervous system infections in neonates, with a study conducted in Alberta from 2014 to 2019 focusing on HPeV-3 and the emerging HPeV-5 strains.
  • Among the 18,882 cerebrospinal fluid samples tested, 56 were positive for HPeVs, with a higher prevalence in 2016 and a notable spike in infections during late summer to fall.
  • The study found differences in mean ages of infection (18 days for HPeV-5 vs. 26 days for HPeV-3), and genetic sequencing suggested similarities with a recombinant strain identified in Australia, highlighting the need for ongoing research
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Bacterial meningoencephalitis in newborns is a severe and life-threatening pathology, which results from meningeal infection and the subsequent involvement of the brain parenchyma. The severity of the acute onset of symptoms and the risk of neurodevelopmental adverse sequelae in children strongly depend on the timing of the infection, the immunological protection transmitted by the mother to the fetus during pregnancy, and the neonate's inflammatory and immune system response after birth. Although the incidence of neonatal meningitis and meningoencephalitis and related mortality declined in the past twenty years with the improvement of prenatal care and with the introduction of intrapartum antibiotic prophylaxis against Streptococcus beta Hemolyticus group B (Streptococcus Agalactiae) in the 1990s, bacterial meningitis remains the most common form of cerebrospinal fluid infection in pediatric patients.

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Neurological Complications Associated With Varicella-Zoster Virus Infection.

Cureus

October 2024

Department of Pediatrics: Pediatric Neurology, Local Healthcare Unit Alto Ave, Guimarães, PRT.

Varicella-zoster virus is a highly contagious infection that primarily affects children. It typically presents as a mild, self-limiting illness with a distinctive rash. However, severe complications can arise, with skin and soft tissue infections being the most common.

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Presents an overview of domestic and foreign sources on the diagnosis of neuroinfections in children of different etiologies based on epidemiological, physical, cerebrospinal fluid, etiological, radiation and other methods. Their combination makes it possible to establish the syndrome of neuroinfection (meningitis, encephalitis, myelitis, polyradioloneuritis, etc.), the severity, the presence of complications, the nature of the course, etiology.

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Coxsackievirus B2 (CVB2) is a member of the enterovirus group known to induce a spectrum of illnesses, from mild to severe. In the summer of 2022, an unusual outbreak of enteroviral central nervous system (CNS) infections occurred that was attributed to CVB2. Cerebrospinal fluid (CSF) samples collected from patients in 2015-2022 were tested for enterovirus via RT-PCR, followed by Sanger sequencing for positive cases.

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  • * A 16-year-old girl with Hodgkin's lymphoma developed a vesicular rash after completing chemotherapy, which was identified as a disseminated rash caused by the Oka vaccine-strain varicella-zoster virus, 11 years after her last vaccination.
  • * This case emphasizes the importance of understanding potential complications of immunizations, particularly in patients who become immunocompromised later in life, and highlights the necessity of viral genotyping to differentiate vaccine strains from wild-type infections.*
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. To determine clinical presentations and laboratory findings of meningitis outbreak among children in 2023 in Iraq. .

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  • Scrub typhus and dengue cause similar symptoms in acute encephalitis but require different treatment approaches.
  • A study involving 204 children aimed to develop a scoring system to effectively distinguish between scrub typhus meningoencephalitis (STM) and dengue encephalopathy (DE).
  • The resulting score showed high accuracy, with 100% specificity and predictive value, aiding physicians in diagnosing and managing these infections properly.
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Background: The diagnosis of healthcare-associated ventriculitis and meningitis (HCAVM) can be complex because multiple factors confound the interpretation of cerebrospinal fluid (CSF) tests. The cell index (CI) may help in the diagnosis of HCAVM. It does not incur additional medical cost and it avoids delays from the turnaround time of CSF cultures.

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  • Encephalitis, meningitis, and meningoencephalitis pose major clinical challenges due to their varied causes and serious complications, necessitating a high suspicion index for effective treatment.
  • The study conducted at King Abdulaziz Medical City in Jeddah analyzed data from 233 patients, revealing that meningitis was the most common diagnosis, primarily caused by bacterial agents, particularly impacting younger children and older adults with higher mortality rates.
  • The findings highlight the need for accurate diagnosis and tailored treatment plans to improve patient outcomes, suggesting further research is necessary to refine healthcare strategies for these neurological infections.
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Understanding neurotropic enteric viruses: routes of infection and mechanisms of attenuation.

Cell Mol Life Sci

October 2024

OrganoVIR Labs, Department of Pediatric Infectious Diseases, Amsterdam UMC, location Academic Medical Center, Amsterdam Institute for Reproduction and Development, University of Amsterdam, Meibergdreef 9, 1100 AZ, Amsterdam, The Netherlands.

Article Synopsis
  • The gut and brain are intricately connected, with various pathways allowing viruses to impact both regions.
  • Certain viruses, particularly picornaviruses and astroviruses, have the unique ability to move from the intestines into the nervous system, posing risks especially to vulnerable populations like immunocompromised individuals and young children.
  • This review explores how these enteric viruses infect the gut-brain axis, examining their infection mechanisms and how they may be mitigated.
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  • The study focuses on improving the understanding of pediatric meningitis and encephalitis in children from western Japan, particularly using the FilmArray Meningitis/Encephalitis (FA-M/E) panel for pathogen identification.
  • Over a year, cerebrospinal fluid samples from 221 children were tested, revealing that viral and bacterial infections were common, with human parechovirus being notably prevalent during summer months in infants.
  • The FA-M/E panel showed advantages over traditional culture methods, notably identifying pathogens that conventional methods missed, which aids in better clinical management of these conditions.
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  • * A study in Eastern India analyzed 16 pediatric cases of STME out of 75 acute encephalitis syndrome cases, with symptoms including fever, convulsions, and altered sensorium, predominantly in young males with an average age of 4.28 years.
  • * While most children showed significant recovery, with only one experiencing lasting neurological issues, the findings highlight the need for increased awareness and rapid intervention to reduce serious outcomes in low-resource environments.
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Varicella-zoster virus recapitulates its immune evasive behaviour in matured hiPSC-derived neurospheroids.

Front Immunol

October 2024

Laboratory of Experimental Hematology (LEH), Vaccine and Infectious Disease Institute (Vaxinfectio), University of Antwerp, Antwerp, Belgium.

Article Synopsis
  • * The study analyzed how human neural-like cells (neurospheroids) respond to VZV infection compared to Sendai virus (SeV), finding that SeV triggers a strong immune response while VZV appears to evade detection.
  • * The research indicates that VZV not only avoids activating the immune system but also disrupts cellular integrity and prompts stress response mechanisms in the long term.
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  • Varicella-Zoster Virus (VZV) can become dormant in the body and reactivate, leading to herpes zoster (HZ) and occasionally causing infections in the central nervous system (CNS) in immunocompetent children.
  • The study analyzed clinical outcomes of VZV reactivation in children under 18, searching for case reports and categorizing patients based on whether their infections were due to the wild type or the vaccine strain of the virus.
  • Results showed that 67% of cases were linked to the wild virus, with a high incidence of antiviral treatment; however, neither prior vaccination nor absence of a skin rash rules out the possibility of VZV meningitis, indicating risks for otherwise
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  • Enterovirus infections were found in 17.4% of febrile infants under 90 days old at a Taiwanese hospital, with a notable 46% of those cases presenting severe neurological conditions like meningitis or encephalitis.
  • Infants infected within the first two weeks of life faced higher risks of severe complications, including anemia, ICU admission, and even mortality.
  • Key risk factors identified for severe outcomes were specific high-risk serotypes of enterovirus and low hemoglobin levels, suggesting the need for early testing in febrile young infants exhibiting these risks.
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  • Serotype 3 strains of reovirus can spread to the brain and cause deadly brain infections in newborn mice.
  • Researchers found that although reovirus targets different areas of the brain, it doesn't depend on certain receptors (like SA and PirB) to infect neurons.
  • The study showed that many parts of the newborn mouse brain can be infected by reovirus, and the patterns of infection don't rely on those specific receptors.
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  • Human herpesvirus 6 (HHV-6) is a common childhood virus that usually causes mild febrile illness but has been linked to more severe conditions like meningoencephalitis in some cases, particularly in those with weakened immune systems.
  • A case study details the treatment of an 18-month-old girl who presented with symptoms suggesting meningitis, leading to a diagnosis of HHV-6 after extensive testing and amid concerns for CNS tuberculosis.
  • Initially considered incidental, the initiation of antiviral therapy coincided with the child’s clinical improvement, suggesting HHV-6 may have played a more significant role in her condition than previously thought.
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Epstein-Barr virus meningoencephalitis is a rare central nervous system infection that lacks standardized treatment. Immunocompetent and immunosuppressed individuals with this condition frequently have poor prognostic outcomes, making the need to identify therapeutic interventions high. Here, we report 2 pediatric cases of severe Epstein-Barr virus meningoencephalitis, both unresponsive to immunoglobulin and corticosteroid therapy, who demonstrated rapid clinical recovery following rituximab administration.

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Epidemiology of childhood enterovirus infections in Hangzhou, China, 2019-2023.

Virol J

August 2024

Department of Clinical Laboratory, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health, 3333 Binsheng road, Hangzhou, 310052, China.

Article Synopsis
  • Human enteroviruses are common globally and can cause various diseases, posing significant health risks, especially in children.
  • The study focused on the prevalence of enterovirus infections in children in Hangzhou, China, before and after the COVID-19 outbreak, analyzing samples from January 2019 to May 2023.
  • Out of over 34,000 samples, 3.4% tested positive for enteroviruses, with the highest positivity rates seen in younger children and a notable peak during June and July; meanwhile, severe serotypes appear to be decreasing.
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