MersV1, Ncbi, Merge, bibRecord, 000F19

Differential diagnosis of delirious behavior in children with influenza.

Identifieur interne : 000F19 ( Ncbi/Merge ); précédent : 000F18; suivant : 000F20

Differential diagnosis of delirious behavior in children with influenza.

Auteurs : Mitsuru Kashiwagi [Japon] ; Takuya Tanabe [Japon] ; Chizu Ooba [Japon] ; Midori Masuda [Japon] ; Seiji Shigehara [Japon] ; Shinya Murata [Japon] ; Atsuko Ashida [Japon] ; Akihiko Shirasu [Japon] ; Keisuke Inoue [Japon] ; Keisuke Okasora [Japon] ; Hiroshi Tamai [Japon]

Source :

Brain & development [ 1872-7131 ] ; 2015.

RBID : pubmed:25277296

Descripteurs français

KwdFr :
- Adolescent, Diagnostic différentiel, Délire avec confusion (), Délire avec confusion (anatomopathologie), Délire avec confusion (diagnostic), Encéphale (anatomopathologie), Encéphalopathies (), Encéphalopathies (anatomopathologie), Encéphalopathies (diagnostic), Enfant, Enfant d'âge préscolaire, Femelle, Grippe humaine (), Grippe humaine (anatomopathologie), Grippe humaine (diagnostic), Humains, Imagerie par résonance magnétique, Mâle, Électroencéphalographie.
MESH :
- anatomopathologie : Délire avec confusion, Encéphale, Encéphalopathies, Grippe humaine.
- diagnostic : Délire avec confusion, Encéphalopathies, Grippe humaine.
- Adolescent, Diagnostic différentiel, Délire avec confusion, Encéphalopathies, Enfant, Enfant d'âge préscolaire, Femelle, Grippe humaine, Humains, Imagerie par résonance magnétique, Mâle, Électroencéphalographie.

English descriptors

KwdEn :
- Adolescent, Brain (pathology), Brain Diseases (complications), Brain Diseases (diagnosis), Brain Diseases (pathology), Child, Child, Preschool, Delirium (complications), Delirium (diagnosis), Delirium (pathology), Diagnosis, Differential, Electroencephalography, Female, Humans, Influenza, Human (complications), Influenza, Human (diagnosis), Influenza, Human (pathology), Magnetic Resonance Imaging, Male.
MESH :
- complications : Brain Diseases, Delirium, Influenza, Human.
- diagnosis : Brain Diseases, Delirium, Influenza, Human.
- pathology : Brain, Brain Diseases, Delirium, Influenza, Human.
- Adolescent, Child, Child, Preschool, Diagnosis, Differential, Electroencephalography, Female, Humans, Magnetic Resonance Imaging, Male.

Abstract

Delirious behavior (DB) in children infected with influenza virus is an important symptom associated with encephalopathy. As children with influenza-associated DB with encephalopathy may require therapy whereas children with influenza-associated DB without encephalopathy do not, distinguishing between these conditions is essential. To clarify these differences and identify the most common features of acute encephalopathy, we retrospectively reviewed the clinical course, laboratory data, magnetic resonance imaging (MRI) and electroencephalography (EEG) findings, therapy, and prognosis of 48 children with influenza exhibiting DB. Of the 48 children, 37 and 11 were diagnosed with influenza A and B, respectively. Moreover, 40 were diagnosed with DB without encephalopathy (DBNE group) and 8, with DB with encephalopathy (DBE group). Reversible splenial lesion (RESLE) was detected in 7 patients in the DBNE group, mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) in 2 patients, and a mild form of acute encephalopathy with biphasic seizures and late reduced diffusion in 1 patient in the DBE group. Serum sodium levels <136mEq/L were observed in 28 cases. Disturbance of consciousness was observed in 25 cases, seizure in 20, and slow waves on EEG in 22. Methylprednisolone pulse therapy was administered in 8 cases. No cases of neurological sequelae were observed. Although most of the clinico-radiological features of the DBNE and DBE groups did not differ substantially, marked differences were observed in the age at onset, initial neurological symptoms, duration of DB, rate of seizure, and slowing of background activity on EEG. These differences should be considered when distinguishing between DBNE and DBE in children.

DOI: 10.1016/j.braindev.2014.09.003
PubMed: 25277296

Links toward previous steps (curation, corpus...)

to stream PubMed, to step Corpus: 001829
to stream PubMed, to step Curation: 001829
to stream PubMed, to step Checkpoint: 001573

Links to Exploration step

pubmed:25277296

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Differential diagnosis of delirious behavior in children with influenza.</title>
<author><name sortKey="Kashiwagi, Mitsuru" sort="Kashiwagi, Mitsuru" uniqKey="Kashiwagi M" first="Mitsuru" last="Kashiwagi">Mitsuru Kashiwagi</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Hirakata City Hospital, Japan. Electronic address: dbs003@art.osaka-med.ac.jp.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Hirakata City Hospital</wicri:regionArea>
<wicri:noRegion>Hirakata City Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tanabe, Takuya" sort="Tanabe, Takuya" uniqKey="Tanabe T" first="Takuya" last="Tanabe">Takuya Tanabe</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Child Neurology, Tanabe Children's Clinic, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Child Neurology, Tanabe Children's Clinic</wicri:regionArea>
<wicri:noRegion>Tanabe Children's Clinic</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ooba, Chizu" sort="Ooba, Chizu" uniqKey="Ooba C" first="Chizu" last="Ooba">Chizu Ooba</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Hirakata City Hospital</wicri:regionArea>
<wicri:noRegion>Hirakata City Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Masuda, Midori" sort="Masuda, Midori" uniqKey="Masuda M" first="Midori" last="Masuda">Midori Masuda</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Hirakata City Hospital</wicri:regionArea>
<wicri:noRegion>Hirakata City Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Shigehara, Seiji" sort="Shigehara, Seiji" uniqKey="Shigehara S" first="Seiji" last="Shigehara">Seiji Shigehara</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Hirakata City Hospital</wicri:regionArea>
<wicri:noRegion>Hirakata City Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Murata, Shinya" sort="Murata, Shinya" uniqKey="Murata S" first="Shinya" last="Murata">Shinya Murata</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Hirakata City Hospital</wicri:regionArea>
<wicri:noRegion>Hirakata City Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ashida, Atsuko" sort="Ashida, Atsuko" uniqKey="Ashida A" first="Atsuko" last="Ashida">Atsuko Ashida</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Hirakata City Hospital</wicri:regionArea>
<wicri:noRegion>Hirakata City Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Shirasu, Akihiko" sort="Shirasu, Akihiko" uniqKey="Shirasu A" first="Akihiko" last="Shirasu">Akihiko Shirasu</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Hirakata City Hospital</wicri:regionArea>
<wicri:noRegion>Hirakata City Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Inoue, Keisuke" sort="Inoue, Keisuke" uniqKey="Inoue K" first="Keisuke" last="Inoue">Keisuke Inoue</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Hirakata City Hospital</wicri:regionArea>
<wicri:noRegion>Hirakata City Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Okasora, Keisuke" sort="Okasora, Keisuke" uniqKey="Okasora K" first="Keisuke" last="Okasora">Keisuke Okasora</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Hirakata City Hospital</wicri:regionArea>
<wicri:noRegion>Hirakata City Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tamai, Hiroshi" sort="Tamai, Hiroshi" uniqKey="Tamai H" first="Hiroshi" last="Tamai">Hiroshi Tamai</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Osaka Medical College, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Osaka Medical College</wicri:regionArea>
<wicri:noRegion>Osaka Medical College</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2015">2015</date>
<idno type="RBID">pubmed:25277296</idno>
<idno type="pmid">25277296</idno>
<idno type="doi">10.1016/j.braindev.2014.09.003</idno>
<idno type="wicri:Area/PubMed/Corpus">001829</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001829</idno>
<idno type="wicri:Area/PubMed/Curation">001829</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001829</idno>
<idno type="wicri:Area/PubMed/Checkpoint">001573</idno>
<idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001573</idno>
<idno type="wicri:Area/Ncbi/Merge">000F19</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Differential diagnosis of delirious behavior in children with influenza.</title>
<author><name sortKey="Kashiwagi, Mitsuru" sort="Kashiwagi, Mitsuru" uniqKey="Kashiwagi M" first="Mitsuru" last="Kashiwagi">Mitsuru Kashiwagi</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Hirakata City Hospital, Japan. Electronic address: dbs003@art.osaka-med.ac.jp.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Hirakata City Hospital</wicri:regionArea>
<wicri:noRegion>Hirakata City Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tanabe, Takuya" sort="Tanabe, Takuya" uniqKey="Tanabe T" first="Takuya" last="Tanabe">Takuya Tanabe</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Child Neurology, Tanabe Children's Clinic, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Child Neurology, Tanabe Children's Clinic</wicri:regionArea>
<wicri:noRegion>Tanabe Children's Clinic</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ooba, Chizu" sort="Ooba, Chizu" uniqKey="Ooba C" first="Chizu" last="Ooba">Chizu Ooba</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Hirakata City Hospital</wicri:regionArea>
<wicri:noRegion>Hirakata City Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Masuda, Midori" sort="Masuda, Midori" uniqKey="Masuda M" first="Midori" last="Masuda">Midori Masuda</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Hirakata City Hospital</wicri:regionArea>
<wicri:noRegion>Hirakata City Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Shigehara, Seiji" sort="Shigehara, Seiji" uniqKey="Shigehara S" first="Seiji" last="Shigehara">Seiji Shigehara</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Hirakata City Hospital</wicri:regionArea>
<wicri:noRegion>Hirakata City Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Murata, Shinya" sort="Murata, Shinya" uniqKey="Murata S" first="Shinya" last="Murata">Shinya Murata</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Hirakata City Hospital</wicri:regionArea>
<wicri:noRegion>Hirakata City Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ashida, Atsuko" sort="Ashida, Atsuko" uniqKey="Ashida A" first="Atsuko" last="Ashida">Atsuko Ashida</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Hirakata City Hospital</wicri:regionArea>
<wicri:noRegion>Hirakata City Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Shirasu, Akihiko" sort="Shirasu, Akihiko" uniqKey="Shirasu A" first="Akihiko" last="Shirasu">Akihiko Shirasu</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Hirakata City Hospital</wicri:regionArea>
<wicri:noRegion>Hirakata City Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Inoue, Keisuke" sort="Inoue, Keisuke" uniqKey="Inoue K" first="Keisuke" last="Inoue">Keisuke Inoue</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Hirakata City Hospital</wicri:regionArea>
<wicri:noRegion>Hirakata City Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Okasora, Keisuke" sort="Okasora, Keisuke" uniqKey="Okasora K" first="Keisuke" last="Okasora">Keisuke Okasora</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Hirakata City Hospital</wicri:regionArea>
<wicri:noRegion>Hirakata City Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tamai, Hiroshi" sort="Tamai, Hiroshi" uniqKey="Tamai H" first="Hiroshi" last="Tamai">Hiroshi Tamai</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Osaka Medical College, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Osaka Medical College</wicri:regionArea>
<wicri:noRegion>Osaka Medical College</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">Brain & development</title>
<idno type="eISSN">1872-7131</idno>
<imprint><date when="2015" type="published">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Brain (pathology)</term>
<term>Brain Diseases (complications)</term>
<term>Brain Diseases (diagnosis)</term>
<term>Brain Diseases (pathology)</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Delirium (complications)</term>
<term>Delirium (diagnosis)</term>
<term>Delirium (pathology)</term>
<term>Diagnosis, Differential</term>
<term>Electroencephalography</term>
<term>Female</term>
<term>Humans</term>
<term>Influenza, Human (complications)</term>
<term>Influenza, Human (diagnosis)</term>
<term>Influenza, Human (pathology)</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Diagnostic différentiel</term>
<term>Délire avec confusion ()</term>
<term>Délire avec confusion (anatomopathologie)</term>
<term>Délire avec confusion (diagnostic)</term>
<term>Encéphale (anatomopathologie)</term>
<term>Encéphalopathies ()</term>
<term>Encéphalopathies (anatomopathologie)</term>
<term>Encéphalopathies (diagnostic)</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Grippe humaine ()</term>
<term>Grippe humaine (anatomopathologie)</term>
<term>Grippe humaine (diagnostic)</term>
<term>Humains</term>
<term>Imagerie par résonance magnétique</term>
<term>Mâle</term>
<term>Électroencéphalographie</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Délire avec confusion</term>
<term>Encéphale</term>
<term>Encéphalopathies</term>
<term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Brain Diseases</term>
<term>Delirium</term>
<term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Brain Diseases</term>
<term>Delirium</term>
<term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Délire avec confusion</term>
<term>Encéphalopathies</term>
<term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Brain</term>
<term>Brain Diseases</term>
<term>Delirium</term>
<term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Diagnosis, Differential</term>
<term>Electroencephalography</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Diagnostic différentiel</term>
<term>Délire avec confusion</term>
<term>Encéphalopathies</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Grippe humaine</term>
<term>Humains</term>
<term>Imagerie par résonance magnétique</term>
<term>Mâle</term>
<term>Électroencéphalographie</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Delirious behavior (DB) in children infected with influenza virus is an important symptom associated with encephalopathy. As children with influenza-associated DB with encephalopathy may require therapy whereas children with influenza-associated DB without encephalopathy do not, distinguishing between these conditions is essential. To clarify these differences and identify the most common features of acute encephalopathy, we retrospectively reviewed the clinical course, laboratory data, magnetic resonance imaging (MRI) and electroencephalography (EEG) findings, therapy, and prognosis of 48 children with influenza exhibiting DB. Of the 48 children, 37 and 11 were diagnosed with influenza A and B, respectively. Moreover, 40 were diagnosed with DB without encephalopathy (DBNE group) and 8, with DB with encephalopathy (DBE group). Reversible splenial lesion (RESLE) was detected in 7 patients in the DBNE group, mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) in 2 patients, and a mild form of acute encephalopathy with biphasic seizures and late reduced diffusion in 1 patient in the DBE group. Serum sodium levels <136mEq/L were observed in 28 cases. Disturbance of consciousness was observed in 25 cases, seizure in 20, and slow waves on EEG in 22. Methylprednisolone pulse therapy was administered in 8 cases. No cases of neurological sequelae were observed. Although most of the clinico-radiological features of the DBNE and DBE groups did not differ substantially, marked differences were observed in the age at onset, initial neurological symptoms, duration of DB, rate of seizure, and slowing of background activity on EEG. These differences should be considered when distinguishing between DBNE and DBE in children. </div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25277296</PMID>
<DateCompleted><Year>2016</Year>
<Month>01</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised><Year>2015</Year>
<Month>04</Month>
<Day>29</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1872-7131</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>37</Volume>
<Issue>6</Issue>
<PubDate><Year>2015</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Brain & development</Title>
<ISOAbbreviation>Brain Dev.</ISOAbbreviation>
</Journal>
<ArticleTitle>Differential diagnosis of delirious behavior in children with influenza.</ArticleTitle>
<Pagination><MedlinePgn>618-24</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.braindev.2014.09.003</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0387-7604(14)00215-0</ELocationID>
<Abstract><AbstractText>Delirious behavior (DB) in children infected with influenza virus is an important symptom associated with encephalopathy. As children with influenza-associated DB with encephalopathy may require therapy whereas children with influenza-associated DB without encephalopathy do not, distinguishing between these conditions is essential. To clarify these differences and identify the most common features of acute encephalopathy, we retrospectively reviewed the clinical course, laboratory data, magnetic resonance imaging (MRI) and electroencephalography (EEG) findings, therapy, and prognosis of 48 children with influenza exhibiting DB. Of the 48 children, 37 and 11 were diagnosed with influenza A and B, respectively. Moreover, 40 were diagnosed with DB without encephalopathy (DBNE group) and 8, with DB with encephalopathy (DBE group). Reversible splenial lesion (RESLE) was detected in 7 patients in the DBNE group, mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) in 2 patients, and a mild form of acute encephalopathy with biphasic seizures and late reduced diffusion in 1 patient in the DBE group. Serum sodium levels <136mEq/L were observed in 28 cases. Disturbance of consciousness was observed in 25 cases, seizure in 20, and slow waves on EEG in 22. Methylprednisolone pulse therapy was administered in 8 cases. No cases of neurological sequelae were observed. Although most of the clinico-radiological features of the DBNE and DBE groups did not differ substantially, marked differences were observed in the age at onset, initial neurological symptoms, duration of DB, rate of seizure, and slowing of background activity on EEG. These differences should be considered when distinguishing between DBNE and DBE in children. </AbstractText>
<CopyrightInformation>Copyright © 2014 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kashiwagi</LastName>
<ForeName>Mitsuru</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, Hirakata City Hospital, Japan. Electronic address: dbs003@art.osaka-med.ac.jp.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tanabe</LastName>
<ForeName>Takuya</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Department of Child Neurology, Tanabe Children's Clinic, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ooba</LastName>
<ForeName>Chizu</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Masuda</LastName>
<ForeName>Midori</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Shigehara</LastName>
<ForeName>Seiji</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Murata</LastName>
<ForeName>Shinya</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ashida</LastName>
<ForeName>Atsuko</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Shirasu</LastName>
<ForeName>Akihiko</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Inoue</LastName>
<ForeName>Keisuke</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Okasora</LastName>
<ForeName>Keisuke</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, Hirakata City Hospital, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tamai</LastName>
<ForeName>Hiroshi</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, Osaka Medical College, Japan.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2014</Year>
<Month>09</Month>
<Day>29</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>Netherlands</Country>
<MedlineTA>Brain Dev</MedlineTA>
<NlmUniqueID>7909235</NlmUniqueID>
<ISSNLinking>0387-7604</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>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001927" MajorTopicYN="N">Brain Diseases</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003693" MajorTopicYN="N">Delirium</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003937" MajorTopicYN="N">Diagnosis, Differential</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004569" MajorTopicYN="N">Electroencephalography</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008279" MajorTopicYN="N">Magnetic Resonance Imaging</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Age</Keyword>
<Keyword MajorTopicYN="N">Delirious behavior</Keyword>
<Keyword MajorTopicYN="N">Differential diagnosis</Keyword>
<Keyword MajorTopicYN="N">Disturbance of consciousness</Keyword>
<Keyword MajorTopicYN="N">Encephalopathy</Keyword>
<Keyword MajorTopicYN="N">Influenza</Keyword>
<Keyword MajorTopicYN="N">Reversible splenial lesion during febrile illness</Keyword>
<Keyword MajorTopicYN="N">Seizure</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year>
<Month>02</Month>
<Day>22</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2014</Year>
<Month>09</Month>
<Day>05</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2014</Year>
<Month>09</Month>
<Day>10</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2014</Year>
<Month>10</Month>
<Day>4</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2014</Year>
<Month>10</Month>
<Day>4</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2016</Year>
<Month>1</Month>
<Day>14</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">25277296</ArticleId>
<ArticleId IdType="pii">S0387-7604(14)00215-0</ArticleId>
<ArticleId IdType="doi">10.1016/j.braindev.2014.09.003</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Japon</li>
</country>
</list>
<tree><country name="Japon"><noRegion><name sortKey="Kashiwagi, Mitsuru" sort="Kashiwagi, Mitsuru" uniqKey="Kashiwagi M" first="Mitsuru" last="Kashiwagi">Mitsuru Kashiwagi</name>
</noRegion>
<name sortKey="Ashida, Atsuko" sort="Ashida, Atsuko" uniqKey="Ashida A" first="Atsuko" last="Ashida">Atsuko Ashida</name>
<name sortKey="Inoue, Keisuke" sort="Inoue, Keisuke" uniqKey="Inoue K" first="Keisuke" last="Inoue">Keisuke Inoue</name>
<name sortKey="Masuda, Midori" sort="Masuda, Midori" uniqKey="Masuda M" first="Midori" last="Masuda">Midori Masuda</name>
<name sortKey="Murata, Shinya" sort="Murata, Shinya" uniqKey="Murata S" first="Shinya" last="Murata">Shinya Murata</name>
<name sortKey="Okasora, Keisuke" sort="Okasora, Keisuke" uniqKey="Okasora K" first="Keisuke" last="Okasora">Keisuke Okasora</name>
<name sortKey="Ooba, Chizu" sort="Ooba, Chizu" uniqKey="Ooba C" first="Chizu" last="Ooba">Chizu Ooba</name>
<name sortKey="Shigehara, Seiji" sort="Shigehara, Seiji" uniqKey="Shigehara S" first="Seiji" last="Shigehara">Seiji Shigehara</name>
<name sortKey="Shirasu, Akihiko" sort="Shirasu, Akihiko" uniqKey="Shirasu A" first="Akihiko" last="Shirasu">Akihiko Shirasu</name>
<name sortKey="Tamai, Hiroshi" sort="Tamai, Hiroshi" uniqKey="Tamai H" first="Hiroshi" last="Tamai">Hiroshi Tamai</name>
<name sortKey="Tanabe, Takuya" sort="Tanabe, Takuya" uniqKey="Tanabe T" first="Takuya" last="Tanabe">Takuya Tanabe</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Sante/explor/MersV1/Data/Ncbi/Merge

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000F19 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd -nk 000F19 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Sante
   |area=    MersV1
   |flux=    Ncbi
   |étape=   Merge
   |type=    RBID
   |clé=     pubmed:25277296
   |texte=   Differential diagnosis of delirious behavior in children with influenza.
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/RBID.i   -Sk "pubmed:25277296" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd   \
       | NlmPubMed2Wicri -a MersV1

This area was generated with Dilib version V0.6.33.
Data generation: Mon Apr 20 23:26:43 2020. Site generation: Sat Mar 27 09:06:09 2021

	Serveur d'exploration MERS
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Serveur d'exploration MERS

Differential diagnosis of delirious behavior in children with influenza.

Differential diagnosis of delirious behavior in children with influenza.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki