Acute Encephalitis Syndrome in Children

acute encephalitis syndrome-mayaclinic

TIPS TO BE SAFE

  • It occurs mainly in small children, make sure to give them healthy meals minimum 3 times a day.
  • Key to preventing such condition is to have plenty of fluids with added sugar to prevent hypoglycemia.
  • Avoid long hours of fasting ( especially have good dinner)

  • Maintain proper nutrition and health on regular basis

  • In case of any danger sign report to nearby health facilities ( but continue giving glucose water to child on the way to hospital

  • Do not panic

  • Vaccination can help in preventing against a specific virus called JE ( Japanese encephalitis) but it does not guarantee 100% protection against all other causes.

  • Recommendations for vaccinations are quite clear for children living or visiting high endemic areas of eastern UP and bihar esp.

Acute encephalitis syndrome (AES) affects central nervous system, mostly in children and young adults. It starts with high fever, then hampers neurological functions causing mental disorientation, seizure, confusion, delirium, coma

It usually occurs in small children.

Relation between hypoglycaemia, children and AES

“The possible association with some toxin in litchi or in environment need to be documented. Methylene cyclopropyl glycine (MCPG) which has been known to be a content of litchi fruit has been shown to cause hypoglycaemia in experimental animals,” the study stated. Several children in Muzaffarpur who suffer from AES before 2014 have a history of visit to litchi orchards, the study found. The impact is worse on undernourished children who remain hungry for several hours.

Malnourishment a key

“A Centre for Disease Control, Atlanta team, and CMC Vellore’s virologist Dr Jacob John’s findings in past have narrowed down to malnutrition, heat, humidity and poor hygiene as reasons of AES”. AES onset is reported mostly in mornings, especially when a child goes without food the previous night and the sugar level in blood dips further.

“A malnourished child has no buffer stock of sugar in liver”

AES- mayaclinic

Key to preventing such condition is to have plenty of fluids with added sugar to prevent hypoglycemia.

Avoid long hours of fasting ( espcially have good dinner)

Follow advice of your doctor and other support staff of health dept.

Regards

Dr Rahul varma

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