KMID : 0391520150230020079
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Journal of the Korean Child Neurology Society 2015 Volume.23 No. 2 p.79 ~ p.83
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A Case of Acute Encephalopathy in Respiratory Syncytial Virus Sepsis Syndrome
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Chu Chen-Chen
Nam Ji-Woo Kim Seung-Yeon Kim Hyun-Jung Kang Ju-Hyung Lee Soo-Jin You Chur-Woo Kim Jon-Soo
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Abstract
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Respiratory syncytial virus (RSV) is the most common and important etiologic agent of early childhood respiratory infections, resulting in significant morbidity and mortality. Extrapulmonary manifestations combined with respiratory symptoms are being reported more frequently in severe RSV infection, but the encephalopathy associated with this infection is not well recognized. RSV encephalopathy was present with impaired consciousness, cyanosis, sucking disorder preceding convulsive seizures. The authors describe the symptoms and outcomes of an 8-month-old boy,
who present with acute encephalopathy and had prematurity, bronchopulmonary dysplasia as comorbidities. The boy developed sepsis syndrome, characterized by hypotension, hepatic and renal dysfunctions, later found to be infected with RSV. He finally recovered after treatment with immumoglobulin and supportive care but required portable mechanical ventilation, nasogastric tube feeding, and anticonvulsant medication at discharge.
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KEYWORD
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Respiratory Syncytial Virus, Acute Encephalopathy, Sepsis
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