Etiology of acute childhood encephalitis at The Hospital for Sick Children, Toronto, 1994-1995.
Identifieur interne : 000B52 ( Main/Corpus ); précédent : 000B51; suivant : 000B53Etiology of acute childhood encephalitis at The Hospital for Sick Children, Toronto, 1994-1995.
Auteurs : H. Kolski ; E L Ford-Jones ; S. Richardson ; M. Petric ; S. Nelson ; F. Jamieson ; S. Blaser ; R. Gold ; H. Otsubo ; H. Heurter ; D. MacgregorSource :
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America [ 1058-4838 ] ; 1998.
English descriptors
- KwdEn :
- Acute Disease, Animals, Canada, Cell Line, Child, Dogs, Electroencephalography, Encephalitis (cerebrospinal fluid), Encephalitis (etiology), Encephalitis (physiopathology), Encephalitis, Viral (cerebrospinal fluid), Encephalitis, Viral (physiopathology), Encephalitis, Viral (virology), Female, Hospitals, Pediatric, Hospitals, University, Humans, Outcome Assessment, Health Care, Prospective Studies, Tumor Cells, Cultured.
- MESH :
- geographic : Canada.
- cerebrospinal fluid : Encephalitis, Encephalitis, Viral.
- etiology : Encephalitis.
- physiopathology : Encephalitis, Encephalitis, Viral.
- virology : Encephalitis, Viral.
- Acute Disease, Animals, Cell Line, Child, Dogs, Electroencephalography, Female, Hospitals, Pediatric, Hospitals, University, Humans, Outcome Assessment, Health Care, Prospective Studies, Tumor Cells, Cultured.
Abstract
Of 145 patients admitted to our hospital because of encephalitis-like illness, 50 patients hospitalized for > or =72 hours underwent standardized microbiological investigations. A confirmed or probable etiologic agent was identified in 20 cases (40%), including Mycoplasma pneumoniae (9 cases). M. pneumoniae and enterovirus (2), herpes simplex virus (4), Epstein-Barr virus (1), human herpes-virus 6 (HHV-6) (1), HHV-6 and influenza virus type A (1), influenza virus type A (1), and Powassan virus (1). In 13 cases (26%), a possible pathogen was identified, including M. pneumoniae in nine cases. Presenting features included fever (80% of patients), seizures (78%), focal neurological findings (78%), and decreased consciousness (47%). The frequency of findings at the time of admission vs. later in hospitalization was as follows: pleocytosis, 59% vs. 63%; electroencephalogram abnormalities, 87% vs. 96%; and neuroimaging abnormalities, 37% vs. 69%, respectively. The outcomes at the time of discharge were as follows: normal results of physical examination, 32% (16) of the patients; death, 2% (1); motor difficulties, 26% (13); global neurological deficits, 16% (severe, 6; mild, 2); mental status changes, 14% (7); visual defects, 8% (4); and hearing impairment, 2% (1).
DOI: 10.1086/516301
PubMed: 9502462
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pubmed:9502462Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Etiology of acute childhood encephalitis at The Hospital for Sick Children, Toronto, 1994-1995.</title><author><name sortKey="Kolski, H" sort="Kolski, H" uniqKey="Kolski H" first="H" last="Kolski">H. Kolski</name><affiliation><nlm:affiliation>Department of Pediatrics, The Hospital for Sick Children and the University of Toronto, Ontario, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Ford Jones, E L" sort="Ford Jones, E L" uniqKey="Ford Jones E" first="E L" last="Ford-Jones">E L Ford-Jones</name></author><author><name sortKey="Richardson, S" sort="Richardson, S" uniqKey="Richardson S" first="S" last="Richardson">S. Richardson</name></author><author><name sortKey="Petric, M" sort="Petric, M" uniqKey="Petric M" first="M" last="Petric">M. Petric</name></author><author><name sortKey="Nelson, S" sort="Nelson, S" uniqKey="Nelson S" first="S" last="Nelson">S. Nelson</name></author><author><name sortKey="Jamieson, F" sort="Jamieson, F" uniqKey="Jamieson F" first="F" last="Jamieson">F. Jamieson</name></author><author><name sortKey="Blaser, S" sort="Blaser, S" uniqKey="Blaser S" first="S" last="Blaser">S. Blaser</name></author><author><name sortKey="Gold, R" sort="Gold, R" uniqKey="Gold R" first="R" last="Gold">R. Gold</name></author><author><name sortKey="Otsubo, H" sort="Otsubo, H" uniqKey="Otsubo H" first="H" last="Otsubo">H. Otsubo</name></author><author><name sortKey="Heurter, H" sort="Heurter, H" uniqKey="Heurter H" first="H" last="Heurter">H. Heurter</name></author><author><name sortKey="Macgregor, D" sort="Macgregor, D" uniqKey="Macgregor D" first="D" last="Macgregor">D. Macgregor</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1998">1998</date><idno type="RBID">pubmed:9502462</idno><idno type="pmid">9502462</idno><idno type="doi">10.1086/516301</idno><idno type="wicri:Area/Main/Corpus">000B52</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000B52</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Etiology of acute childhood encephalitis at The Hospital for Sick Children, Toronto, 1994-1995.</title><author><name sortKey="Kolski, H" sort="Kolski, H" uniqKey="Kolski H" first="H" last="Kolski">H. Kolski</name><affiliation><nlm:affiliation>Department of Pediatrics, The Hospital for Sick Children and the University of Toronto, Ontario, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Ford Jones, E L" sort="Ford Jones, E L" uniqKey="Ford Jones E" first="E L" last="Ford-Jones">E L Ford-Jones</name></author><author><name sortKey="Richardson, S" sort="Richardson, S" uniqKey="Richardson S" first="S" last="Richardson">S. Richardson</name></author><author><name sortKey="Petric, M" sort="Petric, M" uniqKey="Petric M" first="M" last="Petric">M. Petric</name></author><author><name sortKey="Nelson, S" sort="Nelson, S" uniqKey="Nelson S" first="S" last="Nelson">S. Nelson</name></author><author><name sortKey="Jamieson, F" sort="Jamieson, F" uniqKey="Jamieson F" first="F" last="Jamieson">F. Jamieson</name></author><author><name sortKey="Blaser, S" sort="Blaser, S" uniqKey="Blaser S" first="S" last="Blaser">S. Blaser</name></author><author><name sortKey="Gold, R" sort="Gold, R" uniqKey="Gold R" first="R" last="Gold">R. Gold</name></author><author><name sortKey="Otsubo, H" sort="Otsubo, H" uniqKey="Otsubo H" first="H" last="Otsubo">H. Otsubo</name></author><author><name sortKey="Heurter, H" sort="Heurter, H" uniqKey="Heurter H" first="H" last="Heurter">H. Heurter</name></author><author><name sortKey="Macgregor, D" sort="Macgregor, D" uniqKey="Macgregor D" first="D" last="Macgregor">D. Macgregor</name></author></analytic><series><title level="j">Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</title><idno type="ISSN">1058-4838</idno><imprint><date when="1998" type="published">1998</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute Disease</term><term>Animals</term><term>Canada</term><term>Cell Line</term><term>Child</term><term>Dogs</term><term>Electroencephalography</term><term>Encephalitis (cerebrospinal fluid)</term><term>Encephalitis (etiology)</term><term>Encephalitis (physiopathology)</term><term>Encephalitis, Viral (cerebrospinal fluid)</term><term>Encephalitis, Viral (physiopathology)</term><term>Encephalitis, Viral (virology)</term><term>Female</term><term>Hospitals, Pediatric</term><term>Hospitals, University</term><term>Humans</term><term>Outcome Assessment, Health Care</term><term>Prospective Studies</term><term>Tumor Cells, Cultured</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Canada</term></keywords><keywords scheme="MESH" qualifier="cerebrospinal fluid" xml:lang="en"><term>Encephalitis</term><term>Encephalitis, Viral</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Encephalitis</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Encephalitis</term><term>Encephalitis, Viral</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Encephalitis, Viral</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term><term>Animals</term><term>Cell Line</term><term>Child</term><term>Dogs</term><term>Electroencephalography</term><term>Female</term><term>Hospitals, Pediatric</term><term>Hospitals, University</term><term>Humans</term><term>Outcome Assessment, Health Care</term><term>Prospective Studies</term><term>Tumor Cells, Cultured</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Of 145 patients admitted to our hospital because of encephalitis-like illness, 50 patients hospitalized for > or =72 hours underwent standardized microbiological investigations. A confirmed or probable etiologic agent was identified in 20 cases (40%), including Mycoplasma pneumoniae (9 cases). M. pneumoniae and enterovirus (2), herpes simplex virus (4), Epstein-Barr virus (1), human herpes-virus 6 (HHV-6) (1), HHV-6 and influenza virus type A (1), influenza virus type A (1), and Powassan virus (1). In 13 cases (26%), a possible pathogen was identified, including M. pneumoniae in nine cases. Presenting features included fever (80% of patients), seizures (78%), focal neurological findings (78%), and decreased consciousness (47%). The frequency of findings at the time of admission vs. later in hospitalization was as follows: pleocytosis, 59% vs. 63%; electroencephalogram abnormalities, 87% vs. 96%; and neuroimaging abnormalities, 37% vs. 69%, respectively. The outcomes at the time of discharge were as follows: normal results of physical examination, 32% (16) of the patients; death, 2% (1); motor difficulties, 26% (13); global neurological deficits, 16% (severe, 6; mild, 2); mental status changes, 14% (7); visual defects, 8% (4); and hearing impairment, 2% (1).</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">9502462</PMID><DateCompleted><Year>1998</Year><Month>04</Month><Day>09</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>11</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1058-4838</ISSN><JournalIssue CitedMedium="Print"><Volume>26</Volume><Issue>2</Issue><PubDate><Year>1998</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</Title><ISOAbbreviation>Clin. Infect. Dis.</ISOAbbreviation></Journal><ArticleTitle>Etiology of acute childhood encephalitis at The Hospital for Sick Children, Toronto, 1994-1995.</ArticleTitle><Pagination><MedlinePgn>398-409</MedlinePgn></Pagination><Abstract><AbstractText>Of 145 patients admitted to our hospital because of encephalitis-like illness, 50 patients hospitalized for > or =72 hours underwent standardized microbiological investigations. A confirmed or probable etiologic agent was identified in 20 cases (40%), including Mycoplasma pneumoniae (9 cases). M. pneumoniae and enterovirus (2), herpes simplex virus (4), Epstein-Barr virus (1), human herpes-virus 6 (HHV-6) (1), HHV-6 and influenza virus type A (1), influenza virus type A (1), and Powassan virus (1). In 13 cases (26%), a possible pathogen was identified, including M. pneumoniae in nine cases. Presenting features included fever (80% of patients), seizures (78%), focal neurological findings (78%), and decreased consciousness (47%). The frequency of findings at the time of admission vs. later in hospitalization was as follows: pleocytosis, 59% vs. 63%; electroencephalogram abnormalities, 87% vs. 96%; and neuroimaging abnormalities, 37% vs. 69%, respectively. The outcomes at the time of discharge were as follows: normal results of physical examination, 32% (16) of the patients; death, 2% (1); motor difficulties, 26% (13); global neurological deficits, 16% (severe, 6; mild, 2); mental status changes, 14% (7); visual defects, 8% (4); and hearing impairment, 2% (1).</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kolski</LastName><ForeName>H</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, The Hospital for Sick Children and the University of Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ford-Jones</LastName><ForeName>E L</ForeName><Initials>EL</Initials></Author><Author ValidYN="Y"><LastName>Richardson</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Petric</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Nelson</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Jamieson</LastName><ForeName>F</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Blaser</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Gold</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Otsubo</LastName><ForeName>H</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Heurter</LastName><ForeName>H</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>MacGregor</LastName><ForeName>D</ForeName><Initials>D</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Clin Infect Dis</MedlineTA><NlmUniqueID>9203213</NlmUniqueID><ISSNLinking>1058-4838</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000208" MajorTopicYN="N">Acute Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000818" MajorTopicYN="N">Animals</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002170" MajorTopicYN="N" Type="Geographic">Canada</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002460" MajorTopicYN="N">Cell Line</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004285" MajorTopicYN="N">Dogs</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004569" MajorTopicYN="N">Electroencephalography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004660" MajorTopicYN="N">Encephalitis</DescriptorName><QualifierName UI="Q000134" MajorTopicYN="N">cerebrospinal fluid</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018792" MajorTopicYN="N">Encephalitis, Viral</DescriptorName><QualifierName UI="Q000134" MajorTopicYN="N">cerebrospinal fluid</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006776" MajorTopicYN="Y">Hospitals, Pediatric</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006785" MajorTopicYN="Y">Hospitals, University</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017063" MajorTopicYN="N">Outcome Assessment, Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014407" MajorTopicYN="N">Tumor Cells, Cultured</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1998</Year><Month>3</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1998</Year><Month>3</Month><Day>21</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1998</Year><Month>3</Month><Day>21</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">9502462</ArticleId><ArticleId IdType="doi">10.1086/516301</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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