Encephalitis (Pediatrics - PEDS)

Medium urgency
-Moderately severe
Encephalitis is the inflammation of the brain. It is generally due to a viral infection, especially enterovirus, the measles virus and Varicella zoster virus. Most cases are mild (flu-like symptoms with headache) but when they are serious they may cause sudden fever, headache, stiff neck, drowsiness, impaired consciousness, seizures or even a coma. In this case, a pediatrician must be consulted urgently. It is diagnosed by carrying out a detailed medical history and complete physical examination. It is necessary to perform additional examinations to study it well. The vast majority of viral encephalitis subside spontaneously; only the symptoms need to be treated. When the patient’s general condition is greatly affected or there is confusion, agitation or very severe head pain, hospitalization may be necessary for treatment and stabilization.
Bibliographic references
  1. Hordur S Hardarson, MD. Acute viral encephalitis in children: Clinical manifestations and diagnosis. UpToDate. Oct 06, 2016.
  2. Hordur S Hardarson, MD. Acute viral encephalitis in children: Pathogenesis, incidence, and etiology. UpToDate. Oct 06, 2016.
  3. Hordur S Hardarson, MD. Acute viral encephalitis in children: Treatment and prevention. UpToDate. Oct 06, 2016.
  4. Venkatesan A, Tunkel AR, Bloch KC, et al. Case definitions, diagnostic algorithms, and priorities in encephalitis: consensus statement of the international encephalitis consortium. Clin Infect Dis 2013; 57:1114.
  5. Tunkel AR, Glaser CA, Bloch KC, et al. The management of encephalitis: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis 2008; 47:303.
Author
Dr. Sara Vitoria
Copyright
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Symptoms

    Neurological symptoms: impaired speech, physical strength or feeling


    Diminished state of consciousness


    Drowsiness


    Difficulty coordinating movements


    Irritability

Pre-hospital care recommendations

Take over-the-counter pain relievers or anti-inflammatories.
Keep calm.
In case of convulsions, it is important to prevent the person from hitting their head. To do this, the person should be placed on their side and no object or hand should be placed in their mouth.
Use antiemetics if vomiting occurs.