What is encephalitis in children

Health Description
Health consultation description: What is encephalitis in children, what is the treatment for the disease?


Expert Reply

Condition analysis:
Encephalitis literally means an inflammation of the brain. In most cases, this inflammation is caused by a virus. Encephalitis is a rare disease that occurs in approximately 0.5 per 100,000 individuals - most commonly in children, the elderly, and people with weakened immune systems (e.g., those with HIV/AIDS or cancer).

Although several thousand cases of encephalitis (also called acute viral encephalitis or aseptic encephalitis) are reported to the Centers for Disease Control and Prevention (CDC) every year, experts suspect that many more go unreported because the symptoms can be very broad.

Instructions:
Treatment: Some kids with very mild encephalitis can be monitored at home, but most will need care in a hospital, usually in an intensive care unit (ICU). Doctors will carefully monitor their blood pressure, heart rate, and breathing, as well as their body fluids, to prevent further swelling of the brain.

Because antibiotics aren't effective against viruses, they aren't used to treat most forms of encephalitis. However, antiviral drugs can be used to treat some forms of encephalitis, especially the type caused by the herpes simplex virus. Corticosteroids may also be used in some cases to reduce brain swelling. If a child is having seizures, anticonvulsants might be given. Over-the-counter (OTC) medications, like acetaminophen, can be used to treat fever and headaches.

Many people with encephalitis make a full recovery. In some cases, swelling of the brain can lead to permanent brain damage and lasting complications like learning disabilities, speech problems, memory loss, or lack of muscle control. Speech, physical, or occupational therapy may be needed in these cases. It's difficult to predict the outcome for each patient at the time the illness begins, but some types of encephalitis are known to cause more serious complications, such as Japanese encephalitis.

Rarely, if the brain damage is severe, encephalitis can lead to death. Infants (younger than 1 year old) and adults over 55 are at greatest risk of death from encephalitis.



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