Clinical presentation of severe viral encephalitis with known causative agents in children: a retrospective study on 16 patients hospitalized in a pediatric intensive care unit (2008-2011).
Identifieur interne : 000245 ( Main/Exploration ); précédent : 000244; suivant : 000246Clinical presentation of severe viral encephalitis with known causative agents in children: a retrospective study on 16 patients hospitalized in a pediatric intensive care unit (2008-2011).
Auteurs : Marc Adenot [France] ; Emilie Frobert [France] ; Gaëlle Blanchard [France] ; Benoit Morel [France] ; Laurence Perrot [France] ; Daniel Floret [France] ; Etienne Javouhey [France]Source :
- Journal of child neurology [ 1708-8283 ] ; 2014.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Encéphale (anatomopathologie), Encéphale (physiopathologie), Encéphalite virale (anatomopathologie), Encéphalite virale (physiopathologie), Encéphalite virale (thérapie), Encéphalite virale (étiologie), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), France (MeSH), Hospitalisation (MeSH), Humains (MeSH), Imagerie par résonance magnétique (MeSH), Nourrisson (MeSH), Nouveau-né (MeSH), Résultat thérapeutique (MeSH), Unités de soins intensifs pédiatriques (MeSH), Électroencéphalographie (MeSH), Études de suivi (MeSH), Études rétrospectives (MeSH).
- MESH :
- anatomopathologie : Encéphale, Encéphalite virale.
- physiopathologie : Encéphale, Encéphalite virale.
- thérapie : Encéphalite virale.
- étiologie : Encéphalite virale.
- Adolescent, Enfant, Enfant d'âge préscolaire, France, Hospitalisation, Humains, Imagerie par résonance magnétique, Nourrisson, Nouveau-né, Résultat thérapeutique, Unités de soins intensifs pédiatriques, Électroencéphalographie, Études de suivi, Études rétrospectives.
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Adolescent (MeSH), Brain (pathology), Brain (physiopathology), Child (MeSH), Child, Preschool (MeSH), Electroencephalography (MeSH), Encephalitis, Viral (etiology), Encephalitis, Viral (pathology), Encephalitis, Viral (physiopathology), Encephalitis, Viral (therapy), Follow-Up Studies (MeSH), France (MeSH), Hospitalization (MeSH), Humans (MeSH), Infant (MeSH), Infant, Newborn (MeSH), Intensive Care Units, Pediatric (MeSH), Magnetic Resonance Imaging (MeSH), Retrospective Studies (MeSH), Treatment Outcome (MeSH).
- MESH :
- geographic : France.
- etiology : Encephalitis, Viral.
- pathology : Brain, Encephalitis, Viral.
- physiopathology : Brain, Encephalitis, Viral.
- therapy : Encephalitis, Viral.
- Adolescent, Child, Child, Preschool, Electroencephalography, Follow-Up Studies, Hospitalization, Humans, Infant, Infant, Newborn, Intensive Care Units, Pediatric, Magnetic Resonance Imaging, Retrospective Studies, Treatment Outcome.
Abstract
A retrospective analysis was conducted in a French pediatric hospital in Lyon. Subjects were 16 patients diagnosed with acute viral encephalitis with identified causative agents who were admitted to the pediatric intensive care unit from 2008 to 2011. The median length of stay was 6 days. The outcome was favorable for 77% of the patients. Analysis of biological and clinical findings based on causative agents did not reveal clinical patterns or neurological findings specific to the causal viruses. Nevertheless, uncommon clinical pictures and severe neurological complications were highlighted, in particular for children with influenza-related encephalitis and herpes simplex encephalitis. This case series exemplifies the difficulties, even pitfalls, in establishing a diagnosis of encephalitis, especially in neonates. It points out significant differences in the clinical presentation of encephalitis in children compared with clinical pictures described in previously published large-scale studies on encephalitis mainly conducted in adults.
DOI: 10.1177/0883073813513330
PubMed: 24464514
Affiliations:
Links toward previous steps (curation, corpus...)
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(2008-2011).</title><author><name sortKey="Adenot, Marc" sort="Adenot, Marc" uniqKey="Adenot M" first="Marc" last="Adenot">Marc Adenot</name><affiliation wicri:level="3"><nlm:affiliation>Pediatric Emergency and Intensive Care Unit, Hospices Civils de Lyon, Lyon, France marc.adenot@voila.fr.</nlm:affiliation><country wicri:rule="url">France</country><wicri:regionArea>Pediatric Emergency and Intensive Care Unit, Hospices Civils de Lyon, Lyon</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Frobert, Emilie" sort="Frobert, Emilie" uniqKey="Frobert E" first="Emilie" last="Frobert">Emilie Frobert</name><affiliation wicri:level="4"><nlm:affiliation>Laboratoire de Virologie Est, Centre de Biologie et Pathologie Est, Hospices Civils de Lyon, Lyon, France Virology and Human Pathology, EMR 4610, Faculté de Médecine RTH 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1</wicri:regionArea><wicri:noRegion>France University Claude Bernard Lyon 1</wicri:noRegion><wicri:noRegion>France University Claude Bernard Lyon 1</wicri:noRegion></affiliation></author><author><name sortKey="Javouhey, Etienne" sort="Javouhey, Etienne" uniqKey="Javouhey E" first="Etienne" last="Javouhey">Etienne Javouhey</name><affiliation wicri:level="1"><nlm:affiliation>Pediatric Emergency and Intensive Care Unit, Hospices Civils de Lyon, Lyon, France University Claude Bernard Lyon 1, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Pediatric Emergency and Intensive Care Unit, Hospices Civils de Lyon, Lyon, France University Claude Bernard Lyon 1</wicri:regionArea><wicri:noRegion>France University Claude Bernard Lyon 1</wicri:noRegion><wicri:noRegion>France University Claude Bernard Lyon 1</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of child neurology</title><idno type="eISSN">1708-8283</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Brain (pathology)</term><term>Brain (physiopathology)</term><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Electroencephalography (MeSH)</term><term>Encephalitis, Viral (etiology)</term><term>Encephalitis, Viral (pathology)</term><term>Encephalitis, Viral (physiopathology)</term><term>Encephalitis, Viral (therapy)</term><term>Follow-Up Studies (MeSH)</term><term>France (MeSH)</term><term>Hospitalization (MeSH)</term><term>Humans (MeSH)</term><term>Infant (MeSH)</term><term>Infant, Newborn (MeSH)</term><term>Intensive Care Units, Pediatric (MeSH)</term><term>Magnetic Resonance Imaging (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Treatment Outcome (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Encéphale (anatomopathologie)</term><term>Encéphale (physiopathologie)</term><term>Encéphalite virale (anatomopathologie)</term><term>Encéphalite virale (physiopathologie)</term><term>Encéphalite virale (thérapie)</term><term>Encéphalite virale (étiologie)</term><term>Enfant (MeSH)</term><term>Enfant d'âge préscolaire (MeSH)</term><term>France (MeSH)</term><term>Hospitalisation (MeSH)</term><term>Humains (MeSH)</term><term>Imagerie par résonance magnétique (MeSH)</term><term>Nourrisson (MeSH)</term><term>Nouveau-né (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Unités de soins intensifs pédiatriques (MeSH)</term><term>Électroencéphalographie (MeSH)</term><term>Études de suivi (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Encéphale</term><term>Encéphalite virale</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Encephalitis, Viral</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Brain</term><term>Encephalitis, Viral</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Encéphale</term><term>Encéphalite virale</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Brain</term><term>Encephalitis, Viral</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Encephalitis, Viral</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Encéphalite virale</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Encéphalite virale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Child</term><term>Child, Preschool</term><term>Electroencephalography</term><term>Follow-Up Studies</term><term>Hospitalization</term><term>Humans</term><term>Infant</term><term>Infant, Newborn</term><term>Intensive Care Units, Pediatric</term><term>Magnetic Resonance Imaging</term><term>Retrospective Studies</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>France</term><term>Hospitalisation</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Nourrisson</term><term>Nouveau-né</term><term>Résultat thérapeutique</term><term>Unités de soins intensifs pédiatriques</term><term>Électroencéphalographie</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A retrospective analysis was conducted in a French pediatric hospital in Lyon. Subjects were 16 patients diagnosed with acute viral encephalitis with identified causative agents who were admitted to the pediatric intensive care unit from 2008 to 2011. The median length of stay was 6 days. The outcome was favorable for 77% of the patients. Analysis of biological and clinical findings based on causative agents did not reveal clinical patterns or neurological findings specific to the causal viruses. Nevertheless, uncommon clinical pictures and severe neurological complications were highlighted, in particular for children with influenza-related encephalitis and herpes simplex encephalitis. This case series exemplifies the difficulties, even pitfalls, in establishing a diagnosis of encephalitis, especially in neonates. It points out significant differences in the clinical presentation of encephalitis in children compared with clinical pictures described in previously published large-scale studies on encephalitis mainly conducted in adults. </div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24464514</PMID><DateCompleted><Year>2015</Year><Month>10</Month><Day>15</Day></DateCompleted><DateRevised><Year>2014</Year><Month>11</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1708-8283</ISSN><JournalIssue CitedMedium="Internet"><Volume>29</Volume><Issue>11</Issue><PubDate><Year>2014</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Journal of child neurology</Title><ISOAbbreviation>J. Child Neurol.</ISOAbbreviation></Journal><ArticleTitle>Clinical presentation of severe viral encephalitis with known causative agents in children: a retrospective study on 16 patients hospitalized in a pediatric intensive care unit (2008-2011).</ArticleTitle><Pagination><MedlinePgn>1508-18</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/0883073813513330</ELocationID><Abstract><AbstractText>A retrospective analysis was conducted in a French pediatric hospital in Lyon. Subjects were 16 patients diagnosed with acute viral encephalitis with identified causative agents who were admitted to the pediatric intensive care unit from 2008 to 2011. The median length of stay was 6 days. The outcome was favorable for 77% of the patients. Analysis of biological and clinical findings based on causative agents did not reveal clinical patterns or neurological findings specific to the causal viruses. Nevertheless, uncommon clinical pictures and severe neurological complications were highlighted, in particular for children with influenza-related encephalitis and herpes simplex encephalitis. This case series exemplifies the difficulties, even pitfalls, in establishing a diagnosis of encephalitis, especially in neonates. It points out significant differences in the clinical presentation of encephalitis in children compared with clinical pictures described in previously published large-scale studies on encephalitis mainly conducted in adults. </AbstractText><CopyrightInformation>© The Author(s) 2014.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Adenot</LastName><ForeName>Marc</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Pediatric Emergency and Intensive Care Unit, Hospices Civils de Lyon, Lyon, France marc.adenot@voila.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Frobert</LastName><ForeName>Emilie</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Laboratoire de Virologie Est, Centre de Biologie et Pathologie Est, Hospices Civils de Lyon, Lyon, France Virology and Human Pathology, EMR 4610, Faculté de Médecine RTH Laënnec, Université Claude Bernard Lyon 1, Lyon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Blanchard</LastName><ForeName>Gaëlle</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Pediatric Neurology, Hôpital Femme-Mère-Enfant, Hospices Civils de Lyon, Lyon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Morel</LastName><ForeName>Benoit</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Département d'Imagerie Pédiatrique et Foetale, Hôpital Femme-Mère-Enfant, Lyon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Perrot</LastName><ForeName>Laurence</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Pôle Information Médicale Evaluation Recherche, Hospices Civils de Lyon, Lyon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Floret</LastName><ForeName>Daniel</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Pediatric Emergency and Intensive Care Unit, Hospices Civils de Lyon, Lyon, France University Claude Bernard Lyon 1, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Javouhey</LastName><ForeName>Etienne</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Pediatric Emergency and Intensive Care Unit, Hospices Civils de Lyon, Lyon, France University Claude Bernard Lyon 1, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>01</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Child Neurol</MedlineTA><NlmUniqueID>8606714</NlmUniqueID><ISSNLinking>0883-0738</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001921" MajorTopicYN="N">Brain</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004569" MajorTopicYN="N">Electroencephalography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018792" MajorTopicYN="N">Encephalitis, Viral</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015278" MajorTopicYN="N">Intensive Care Units, Pediatric</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008279" MajorTopicYN="N">Magnetic Resonance Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">encephalitis</Keyword><Keyword MajorTopicYN="N">herpes</Keyword><Keyword MajorTopicYN="N">influenza</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>1</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>1</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>10</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24464514</ArticleId><ArticleId IdType="pii">0883073813513330</ArticleId><ArticleId IdType="doi">10.1177/0883073813513330</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Rhône-Alpes</li></region><settlement><li>Lyon</li></settlement><orgName><li>Université Claude Bernard Lyon 1</li></orgName></list><tree><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Adenot, Marc" sort="Adenot, Marc" uniqKey="Adenot M" first="Marc" last="Adenot">Marc Adenot</name></region><name sortKey="Blanchard, Gaelle" sort="Blanchard, Gaelle" uniqKey="Blanchard G" first="Gaëlle" last="Blanchard">Gaëlle Blanchard</name><name sortKey="Floret, Daniel" sort="Floret, Daniel" uniqKey="Floret D" first="Daniel" last="Floret">Daniel Floret</name><name sortKey="Frobert, Emilie" sort="Frobert, Emilie" uniqKey="Frobert E" first="Emilie" last="Frobert">Emilie Frobert</name><name sortKey="Javouhey, Etienne" sort="Javouhey, Etienne" uniqKey="Javouhey E" first="Etienne" last="Javouhey">Etienne Javouhey</name><name sortKey="Morel, Benoit" sort="Morel, Benoit" uniqKey="Morel B" first="Benoit" last="Morel">Benoit Morel</name><name sortKey="Perrot, Laurence" sort="Perrot, Laurence" uniqKey="Perrot L" first="Laurence" last="Perrot">Laurence Perrot</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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