在儿童患上与登革热病毒相关的脑炎后的神经后果
Neha Srivastava1, Rakesh Mankal2, Rohit Beniwal1
1ICMR-Regional Medical Research Centre, Gorakhpur, India.
Open forum infectious diseases
|October 2, 2025
概括
神经系统后果影响39%患有登革热相关急性脑炎综合征 (DEN-AES) 的儿童. 早期诊断和康复对于管理受影响儿童的认知和行为障碍至关重要.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 儿科 儿科 儿科
背景情况:
- 登革热病毒越来越多地与神经系统并发症有关.
- 登革热相关急性脑炎综合征 (DEN-AES) 是一种已知的并发症.
- 在儿科DEN-AES病例中神经系统的后果以前没有被研究过.
研究的目的:
- 评估患有DEN-AES的儿童的神经系统后续的程度和类型.
- 为了识别DEN-AES.ES后的神经功能障碍的常见领域.
主要方法:
- 评估了2018-2019年期间出院的儿科DEN-AES病例 (≤18岁) 的队列.
- 使用血清学和分子登革热测试证实了DEN-AES诊断.
- 长期的神经病症后果在家庭访问期间使用标准化残疾评估工具进行评估.
主要成果:
- 在56例儿科DEN-AES病例中的39.3%观察到神经系统后果.
- 认知和行为障碍是最常见的后果 (37.5%).
- 六名儿童患有严重残疾,5名儿童因持续的而需要抗药物.
结论:
- 儿童DEN-AES病例中很大一部分会发展出神经系统的后果.
- 在登革热流行地区,早期诊断,持续的随访和康复政策至关重要.
- 解决神经系统的后果对于改善受DEN-AES影响的儿童的治疗结果至关重要.
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