Acute encephalitis syndrome child patient with multi-viral co-infection: A rare case report

This rare case with multi-viral co-infection had been diagnosed in August 2018 in Patna, India. The depicted case was observed in sevenyear-old girl child who manifested with unconsciousness along with fever, headache, weakness, body ache and irregular pupil movement. She had experienced intermitten...

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Bibliographic Details
Published in:Journal of medical and allied sciences 2019-01, Vol.9 (2), p.100-102
Main Authors: Kumar, Maneesh, Topno, Roshan, Madhukar, Major, Pandey, Krishna, Mishra, Bhawana, Sahoo, Ganesh, Singh, Alka, Kamble, Bheemarao, Das, Pradeep
Format: Article
Language:English
Subjects:
Antibiotics
Antiviral drugs
Bacterial infections
Body temperature
Brain research
Case reports
Coma
Conflicts of interest
Convulsions & seizures
Cytomegalovirus
Encephalitis
Families & family life
Fever
Heart rate
Hospitals
Infections
Measles
Meningitis
Mental disorders
Multi-viral co-infection
Nervous system
Neurological disorders
Neurological disturbances
Rubella
Seizure
Unconscious
Viral infections
Viral pathogens
Viruses
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Summary:This rare case with multi-viral co-infection had been diagnosed in August 2018 in Patna, India. The depicted case was observed in sevenyear-old girl child who manifested with unconsciousness along with fever, headache, weakness, body ache and irregular pupil movement. She had experienced intermittent abnormal body movement with staring look for every 3 hours. These symptoms were akin to epileptic seizures. Clinical investigations were advised with a strong suspicion of viral infection. Awfully, she was diagnosed with multi-viral co-infection including Japanese Encephalitis, Dengue, Chikungunya, Herpes Simplex Virus (HSV), Cytomegalovirus (CMV) and Rubella from both blood and Cerebrospinal fluid (CSF) samples. The infections were further confirmed by using reverse transcriptase polymerase chain reaction (RT-PCR). She got proper medication with antibiotic and antiviral coverage. She improved with complete cessation of seizures and was advised to follow up after one month. Such incidences of multi-viral coinfections warrant focus on healthcare providers' awareness in order to prevent its occurrence and severity of illness.
ISSN:2231-1696
2231-170X
DOI:10.5455/jmas.23328