[Viral encephalitis in children].
Viral encephalitis is a severe illness that produces inflammation of the brain. CNS viral infections frequently occur as a complication of systemic viral infections. Over 100 viruses are implicated as causative agents, including herpes simplex virus type I which is the most common agent implied in non-epidemic encephalitis in all population groups in the world, and is responsible for the most severe cases in all ages. Many viruses, for which there are vaccines, may also cause encephalitis: measles, mumps, polio, rabies, rubella, and chickenpox. The virus causes an inflammation of the brain tissue, which may progress to destruction of nerve cells, cause bleeding and brain damage, leading to severe encephalitis, such as hemorrhagic or necrotizing encephalitis, with a worse prognosis, producing serious sequelae or death. The clinical evolution includes the presence of headache, fever and altered consciousness rapidly progressive. The outcome of viral encephalitis is variable, some cases are mild, with full recovery, but there are serious cases that can cause severe sequel in the brain. To diagnose this illness as soon as possible is essential, through laboratory tests (biochemistry, virus PCR, culture) and neuroimaging (CT, MRI) and above all, the establishment of early treatment to prevent the development of the process and possible complications. The prognosis worsens if the initiation of treatment is delayed.
Servicio de Neuropediatría, Hospital Universitario y Politécnico La Fe, Valencia, España. E-mail: tellez_mon@gva.es.
Monserrat
M
Téllez de Meneses
Miguel T
MT
Vila
Pedro
P
Barbero Aguirre
José F
JF
Montoya
D000998:Antiviral Agents / Q000627:therapeutic use; D002648:Child; D003937:Diagnosis, Differential; D018792:Encephalitis, Viral / Q000175:diagnosis* / Q000628:therapy* / Q000821:virology; D006801:Humans; D016133:Polymerase Chain Reaction; D011379:Prognosis
D000998:Antiviral Agents
coma; encephalitis; meningitis; meningoencephalitis; virus