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Journal of Tropical Pediatrics Advance Access originally published online on September 28, 2007
Journal of Tropical Pediatrics 2008 54(1):25-30; doi:10.1093/tropej/fmm078
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© The Author [2007]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

BrainStem Encephalitis Associated with Chandipura in Andhra Pradesh Outbreak

S. Narasimha Raoa, Niteen S. Wairagkarb, V. Murali Mohana, Mukesh Khetana and Suresh Somarathia

aGovernment Institute of Child Health, Niloufer Hospital, Red Hills, Hyderabad 500004, India
bNational Institute of Virology, 20-A, Ambedkar Road, Post Box 11, Pune 4110001, India

Correspondence: Dr S. Narasimha Rao, Professor of Paediatrics, Institute of Child Health, Niloufer Hospital, Red Hills, Hyderabad 500 004, India. E-mail < drnrao_s{at}rediffmail.com>.


  Abstract

Clinical data of 104 hospitalized children during the 2003 epidemic of encephalitis in Andhra Pradesh state was retrospectively analysed to know the clinical profile and risk factors associated with mortality. Fever was the first symptom associated with altered sensorium, seizures, diarrhoea and vomiting. Evolution of illness was very rapid with high fatality (47%). Majority of deaths occurred within the first 24 h of illness due to brainstem involvement. On multiple logistic regression analysis, high-grade fever, absent oculocephalic reflex and Glasgow coma score <7 were found to be significantly contributing to the mortality. Evidence of Chandipura virus was detected in these cases as the etiological agent.


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