ENCEPHALITES AIGUES INFECTIEUSES CHEZ LENFANT, EXPERIENCE DU SERVICE DES MALADIES INFECTIEUSES DE LHOPITAL DENFANT DE RABAT

Acute infectious encephalitis is a rare neurological pathology with varied etiology and serious prognosis. The purpose of this work to report the experience pediatric diseases department Childrens Hospital Rabat in management condition order identify clinical, paraclinical, etiological, therapeutic evolutionary determine prognostic factors. Materials Methods: This retro-prospective monocentric study, conducted from January 2014 March 2019. Included study are children under 15 years age, hospitalized for acute encephalitis, confirmed or retained on presumption criteria. An operating sheet has been prepared each file collecting epidemiological, progressive data reported an Excel sheet. Results : 60 cases have collected. average age patients 4 years, sex ratio M/F 1.14. onset symptoms was 77% patients. reason consultation fever (78%), convulsions (63%) febrile disturbances consciousness (13%). On admission, functional signs were dominated by (90%), disturbance (53%), immediate coma (20% cases) (75%). clinical examination found deficit (43.33%), meningeal syndrome (20%), gait (16.6%), aphasia (2 cases), cerebellar hypotonia (3 cases). Brain CT instrumental diagnosis (26.4%), brain MRI (70%) EEG (51%). CSF analysis pathological 46% positive direct (1 case) culture at MNO case). PCR 25.6% (HSV1: 5cases, EBV: 1 case, TB: 4cases). viral (50 cases: unknown germ (42 HSV1 (5 chickenpox case), mumps virus EBV case)) bacterial (10 PNO BK cases)). Treatment based etiology. Corticotherapy recommended 25 anticonvulsant treatment all cases. Discussion: Despite its mono-centric nature time limitation, series highlight severity children. Viral most common including herpetic encephalitis. diagnostic difficulties significant due routine unavailability cerebral CSF. However, probabilistic must be started without delay, more elements etiological orientation. Physicians awareness availability these examinations remain essential obtaining better results.