Comparison of tick-borne encephalitis between children and adults—analysis of 669 patients
Autor: | Elzbieta Ołdak, Sławomir Pancewicz, Katarzyna Krawczuk, Anna Moniuszko-Malinowska, Piotr Czupryna |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Male
Pediatrics Leukocytosis Anti-Inflammatory Agents TBE Severity of Illness Index Dexamethasone 0302 clinical medicine CSF pleocytosis Meningoencephalitis Mannitol 030212 general & internal medicine Encephalitis Viral Child Children CSF albumin Aged 80 and over Analgesics Middle Aged Meningitis Viral Treatment Outcome Neurology Child Preschool Vomiting Female medicine.symptom Meningitis Encephalitis Tick-Borne Adult medicine.medical_specialty Adolescent Nausea Article Encephalitis Viruses Tick-Borne 03 medical and health sciences Cellular and Molecular Neuroscience Virology medicine Adults Humans Pleocytosis Aged Retrospective Studies business.industry Tick-borne encephalitis medicine.disease Neurology (clinical) business 030217 neurology & neurosurgery |
Zdroj: | Journal of Neurovirology |
ISSN: | 1538-2443 1355-0284 |
Popis: | The aim of our study was to compare the course of TBE in children and adults. A retrospective analysis of the medical records of 669 patients was performed. The patients were categorized into 2 groups: Group I with 68 children and group II with 601 adults. TBE symptoms in children were milder compared with adults, with meningitis in 97% of cases. In adults, meningoencephalitis and meningoencephalomyelitis made up 49.26% of cases. Nausea and vomiting are more frequent in children, while neurological manifestations are more frequent in adults. There were no differences in CSF pleocytosis at the onset of disease in both groups, while CSF protein concentration was higher in adults. Children treated with corticosteroids over 7 days had higher checkup pleocytosis than pleocytosis at the onset of disease compared with adults. Corticosteroid use prolongs the disease duration but does not influence the development of TBE sequelae. Children had more favourable outcomes than adult patients. |
Databáze: | OpenAIRE |
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