Hepatitis and Meningoencephalitis due to Enterovirus in a Toddler

Mohammad Ali Raza Qizalbash, Rida Zahra, Adnan Adil Mithwani, Anwar Adil Mithwani, Muaaz Adil Mithwani

Abstract

Background: Acute hepatitis caused by viral organisms which are typically implicated in the cases of encephalitis are rarely reported in literature. The presentation of enteroviral meningoencephalitis predominated with the clinical picture of hepatitis has rarely been recorded in populations other than neonates.

Case Presentation: A male 2-year-old, presenting with a fever of 38 to 40 °C with chills and rigors, lethargy and drowsiness for 6 days. Along with the nausea, vomiting and watery diarrhea, he developed mouth ulcers (peri-oral vesicles) during the stay at the hospital. After extensive workup he was later diagnosed with meningoencephalitis and acute hepatitis due to Coxsackie virus A. After a stay of more than a month he was successfully treated and discharge.

Conclusion: A more thorough evaluation should be carried out for atypical viral infections presenting with clinical presentation of hepatitis and meningoencephalitis.

Keywords

Hepatitis, Meningoencephalitis, Enterovirus

Full Text:

PDF

References

Mohammad Ali Raza Qizalbash, Rida Zahra, Abhinav Kumar, Adnan Adil, Kamran Khan, Sayed Tauseef Ahmad Jan, Shazia Shah, Shristi Shrestha, Ayeshah Sarfaraz, Amandeep Singh, Hamdan Gul. Nephrogenic Diabetes Insipidus Due to Urinary Tract Obstruction: A Systematic Review. Internal Medicine and Medical Investigation Journal. 2017 October; 2(4): 113-131. Doi: http://dx.doi.org/10.24200/imminv.v2i4.110

Tunkel AR, Glaser CA, Bloch KC, Sejvar JJ, Marra CM, Roos KL, et al. IDSA guidelines for management of encephalitis. Clin Infect Dis. 2008; 47:303–27.

Kogon A, Spigland I, Frothingham TE, et al. The virus watch program: a continuing surveillance of viral infections in metropolitan New York families. VII. Observations on viral excretion, seroimmunity, intrafamilial spread and illness association in coxsackie and echovirus infections. Am J Epidemiol. 1969; 89:51–61.

American Academy of Pediatrics: Enterovirus (nonpoliovirus) infections; in Pickering LK, Baker CJ, Long SS, Mcmillan JA (eds): Red Book 2006 Report of the Committee on Infectious Diseases. American Academy of Pediatrics, 2006, pp 284–285.

Refbacks

  • There are currently no refbacks.