COMPARISON OF CLINICAL PROFILE OF ADULT AND PEDIATRIC AES CASES
Journal Title: IJSR-International Journal Of Scientific Research - Year 2017, Vol 6, Issue 12
Abstract
Introduction- Acute Encephalitis Syndrome is defined as the acute onset of fever and a change in mental status (including symptoms such as confusion, disorientation, coma or inability to talk) and/or new onset of seizures (excluding simple febrile seizures) in a person of any age at any time of the year. An accurate understanding of the demography, clinical profile and outcome of the AES patients in adults and children is needed. Objectives- To study the difference in clinical profile and outcome between the adult and pediatric patients of Acute Encephalitis Syndrome. Materials and methods- Hospital based observational study for one year in Jorhat Medical College, Jorhat, Assam. Results- out of 169 AES cases 52.1% were adults and 47.9% were children. Higher incidence of seizure was found in children whereas higher incidence of irritability and headache in adult were found to be significant. Outcome at discharge showed that complete recovery was more in adults than in children (70% vs. 56.3%). Neurological sequalae was less in adult than children (15.6% vs. 6.8). Death had occurred less in adult (22.9%) as compared to children (28.1%). Conclusion Adults and children both suffer from similar signs and symptoms but the severity of CNS involvement was found to be more in children.
Authors and Affiliations
Abu Hasan Sarkar, Bishnu Ram Das
Keywords
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