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Published on: June 23, 2022
Western equine encephalitis in infants; a report on three cases with sequelae
Insights
Western equine encephalitis virus frequently affects children. This study details three infant infections, highlighting diagnostic challenges and sequelae in young children with central nervous system infections.
Area of Science:
- Pediatric Neurology
- Virology
- Infectious Diseases
Background:
- Western equine encephalitis (WEE) is a significant cause of encephalitis in children.
- Approximately one-third of laboratory-confirmed WEE cases occur in children under 10 years old.
Purpose of the Study:
- To describe WEE virus infections in infants under one year of age.
- To discuss diagnostic challenges of central nervous system disturbances in infants.
- To emphasize WEE virus as a potential cause of acute CNS infections and neurological sequelae in children.
Main Methods:
- Case series describing three infants with WEE virus infection.
- Discussion of diagnostic difficulties in pediatric central nervous system infections.
Main Results:
- Three cases of Western equine encephalomyelitis virus infection in infants under one year of age are presented.
- Resultant sequelae from WEE virus infection in these infants are detailed.
- Difficulties in diagnosing central nervous system disturbances in very young children are highlighted.
Conclusions:
- Arthropod-borne encephalitis viruses, including WEE virus, should be considered in the etiology of acute central nervous system infections in childhood.
- These viruses may be responsible for obscure, severe neurological disturbances in pediatric populations.
- Early consideration of WEE virus is crucial for timely diagnosis and management in infants and children.
Abstract:
Approximately one-third of the laboratory-confirmed cases of Western equine encephalitis occur in children under the age of 10. The present paper describes three instances of Western equine encephalomyelitis virus infection in infants under one year of age, together with the resultant sequelae. The difficulties associated with diagnosis of central nervous system disturbances in very young children are discussed, and it is pointed out that in view of the frequent occurrence of clinical infections with the arthropod-borne encephalitis viruses these agents should be given serious consideration as a cause of acute central nervous system infection in childhood and as the possible etiology for obscure, severe neurological disturbances in the pediatric age groups.
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