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Article: EBV-ENCEPHALITIS IN CHILDREN: DIAGNOSTIC CRITERIA.

Rzhevska, Olga O / Khodak, Larisa A / Butenko, Antonina I / Kvaratskheliya, Tamara M / Shtrakh, Kateryna V / Shevchuk, Anatolii M / Yashchenko, Yurii B

Wiadomosci lekarskie (Warsaw, Poland : 1960)

2023  Volume 76, Issue 10, Page(s) 2263–2268

Abstract: Objective: The aim: To investigate the clinical characteristics of EBV infection in the pediatric nervous system using laboratory methods and brain MRI data.: Patients and methods: Materials and methods: We observed 41 children with EBV encephalitis ... ...

Abstract Objective: The aim: To investigate the clinical characteristics of EBV infection in the pediatric nervous system using laboratory methods and brain MRI data.
Patients and methods: Materials and methods: We observed 41 children with EBV encephalitis ranging from 8 months to 17 years old. The diagnosis of EBV-encephalitis was established on the basis of clinical and medical history, laboratory and instrumental (brain MRI) data. The main thing in the diagnosis was clinical symptoms, combining general infection, cerebral syndromes and focal neurological symptoms. The etiology of Epstein-Barr virus was determined using ELISA and PCR.
Results: Results: EBV-encephalitis can be as a manifestation of reactivation of persistent EBV infection (85%), much less often - acute primary EBV infection (15%). By nature, the duration of EBV encephalitis has distinguished two forms of its course: acute (63%) and chronioc (37%). The criteria of differential diagnosis of acute and chronic forms of EBV-encephalitis are proposed, which include the most common anamnesis data, clinical manifestations and changes in brain MRI.
Conclusion: Conclusions: The proposed criteria specifically for acute and chronic forms of EBV-encephalitis can contribute to the timely and more accurate diagnosis of this disease in children.
MeSH term(s) Humans ; Child ; Epstein-Barr Virus Infections/complications ; Epstein-Barr Virus Infections/diagnosis ; Herpesvirus 4, Human ; Magnetic Resonance Imaging ; Syndrome ; Encephalitis/diagnosis
Language English
Publishing date 2023-11-01
Publishing country Poland
Document type Journal Article
ZDB-ID 414731-5
ISSN 0043-5147 ; 1895-0485 ; 0860-8865
ISSN 0043-5147 ; 1895-0485 ; 0860-8865
DOI 10.36740/WLek202310120
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