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Objetivos
Reconocer la importancia
Definicin
Encefaliti
s
Meningiti
s
Meningoencefaliti
s
Case definitions, diagnostic algorithms, and priorities in encephalitis: consensus statement of the
international encephalitis consortium. Clin. Infect. Dis. 2013 Oct;57(8):1114-28. Epub 2013 Aug 6.
Generalidades
Emergencia Medica
Pronostico Variable
Acute viral encephalitis in children and adolescents: Clinical manifestations and diagnosis, Hordur S
Hardarson, UpToDate April 2015
Generalidades
Meningo-Encefalitis
Infecciosa: Viral, Otros
Autoinmune
Paraneoplsica
PostInfecciosa
ToxicoMetablica
Encephalitis Diagnosis And Management in the Real World. Adv Exp Med Biol. 2011
Etiologa
Agentes Etiolgicos
1. Herpes Virus (VHS, VZV, EBV)
2. Virus Respiratorios (Influenza,
ParaInfluenza, Adenovirus)
3. Enterovirus
4. Mycoplasma Neumoniae
5. Inmunizacin
6. Arbovirus (E. Japonesa, Virus del Este del
nilo, T. por garrapatas, E. de San Louis
7. Inmunocomprometidos (HIV, Listeria,
Toxoplasma, CMV, HHV 6, Cryptococo)
8. Exposicin Con Animales
Encephalitis Diagnosis And Management in the Real World. Adv Exp Med Biol. 2011
Fisiopatologa
Encefalitis
Invasin
Directa
VM, Viremia,
PostInfecciosa
Va
Retrograda
Inmunolgica
Bronstein DE, Shields WD, Glaser CA. Encephalitis and meningoencephalitis. In: Feigin and Cherrys
Textbook of Pediatric Infectious Diseases, 7th ed, Elsevier Saunders, Philadelphia 2014. p.492.
Manifestaciones Clnicas
Neonatos y Lactantes
Fiebre 80%
Convulsiones 57%
Diagnostico
HC
EF
Labs
LCR
IMG
RMN Y/O TC
The management of encephalitis: clinical practice guidelines by the Infectious Diseases Society of
America. Tunkel AR, Glaser CA, Bloch KC. Clin Infect Dis. 2008;47(3):303.
Anlisis de LCR
Se debe realizar posterior a la evaluacin por imgenes para
evaluar existencia de contraindicaciones.
Pleocitosis Linfoctica
Hiperproteinorraquia
Glucorraquia Normal
Childhood encephalitis in Sweden: etiology, clinical presentation and outcome. Fowler A, Stdberg T, Eriksson M,
Wickstrm R. Eur J Paediatr Neurol. 2008;12(6):484.
Imgenes Diagnosticas
Pueden ser normales o demostrar edema cerebral, inflamacin de
la corteza cerebral (Se muestran alteraciones inicialmente en el
30% de los casos, luego en el 70%).
Enterovirus
Virus Respiratorios
Postinfecciosa
Infeccin Congnita
Calcificaciones Intracraneales
Balamuthia Mandrillaris
Encephalitis with thalamic and basal ganglia abnormalities: etiologies, neuroimaging, and potential role of respiratory viruses,
Beattie GC, Glaser CA, Sheriff H, Messenger S, Preas CP, Shahkarami M, Venkatesan A. Clin Infect Dis. 2013;56(6):825.
Electroencefalograma
Anormal
EEG
Deteccin
precoz de
e.
Herptica
90%
actividad
irritativa
en Lob.
Temporale
s
The role of continuous electroencephalography in childhood encephalitis. Gold JJ, Crawford JR, Glaser C,
Sheriff H, Wang S, Nespeca M. Pediatr Neurol. 2014 Apr;50
Criterios Diagnsticos
Case definitions, diagnostic algorithms, and priorities in encephalitis: consensus statement of the
international encephalitis consortium. Clin. Infect. Dis. 2013 Oct;57(8):1114-28. Epub 2013 Aug 6.
Tratamiento
Tratamiento De Soporte (1)
UCI
Aciclovir IV
1)
2)
HTEC
Otras complicaciones
VVZ
ADEM
Case definitions, diagnostic algorithms, and priorities in encephalitis: consensus statement of the international encephalitis
consortium. Clin. Infect. Dis. 2013 Oct;57(8):1114-28. Epub 2013 Aug 6.
Encephalitis in children, Thompson C, Kneen R, Riordan A, Kelly D, Pollard AJ, Arch Dis Child. 2012;97(2):150.
Tratamiento Especifico
Fuente de Consulta:
http://
www.uptodate.com.ezproxy.unilibrebaq.edu.co:8084/contents/i
mage?imageKey=ID%2F69990&topicKey=PEDS%2F5977&rank=4~150&so
urce=see_link&search=encefalitis
Tunkel AR, Glaser CA, Bloch KC, et al. The management of encephalitis: Clinical Practice
Guidelines by the Infectious Diseases Society of America. Clin Infect Dis 2008; 47:303-27
Prevencin Primaria
Lavado de Manos.
Case definitions, diagnostic algorithms, and priorities in encephalitis: consensus statement of the
international encephalitis consortium. Clin. Infect. Dis. 2013 Oct;57(8):1114-28. Epub 2013 Aug 6.
Conclusiones