Classification of acute encephalopathy in respiratory syncytial virus infection

作者: Shinichiro Morichi , Hisashi Kawashima , Hiroaki Ioi , Gaku Yamanaka , Yasuyo Kashiwagi

DOI: 10.1007/S10156-011-0259-5

关键词: Hypoxia (medical)Cerebrospinal fluidRespiratory systemCytokine stormImmunologyInterleukin 6CytokineMedicineEncephalopathyInterleukin

摘要: Infection with respiratory syncytial virus (RSV) is known to be associated central nervous system symptoms such as convulsions. We investigated cytokines, nitrogen oxide (NO)x, and the viral genome in cerebrospinal fluid (CSF) obtained from children RSV infection-related convulsions or compared data type of encephalopathy. Of nine patients enrolled (six boys three girls; aged 10 days–3 years), one metabolic error, five excitotoxicity, cytokine storm, two hypoxia cases were found. The presented unilateral convulsions, generalized following cardiopulmonary arrest, apnea, nuchal rigidity. In all patients, a rapid check for nasal was positive. (subgroup A) detected CSF patients; hypoxic encephalopathy negative genome. interleukin (IL)-6 levels high only excitotoxicity storm NOx subject cases. type, significantly higher than those control other groups. level may become an important parameter diagnosis classification acute RSV. Strategies treat each encephalopathy, targeting cytokines free radicals, should established.

参考文章(22)
Vassilios Fanos, R Antonucci, Acute encephalopathy associated with respiratory syncytial virus infections in childhood. A literature review. MINERVA Pediatrica. ,vol. 57, pp. 137- 142 ,(2005)
Douglas F Willson, Christopher P Landrigan, Susan D Horn, Randall J Smout, Complications in infants hospitalized for bronchiolitis or respiratory syncytial virus pneumonia. The Journal of Pediatrics. ,vol. 143, pp. 142- 149 ,(2003) , 10.1067/S0022-3476(03)00514-6
Takashi Ichiyama, Naoko Suenaga, Madoka Kajimoto, Jun Tohyama, Hiroshi Isumi, Masaya Kubota, Masato Mori, Susumu Furukawa, Serum and CSF levels of cytokines in acute encephalopathy following prolonged febrile seizures Brain and Development. ,vol. 30, pp. 47- 52 ,(2008) , 10.1016/J.BRAINDEV.2007.05.008
H. Aiba, M. Mochizuki, M. Kimura, H. Hojo, Predictive value of serum interleukin-6 level in influenza virus–associated encephalopathy Neurology. ,vol. 57, pp. 295- 299 ,(2001) , 10.1212/WNL.57.2.295
T. Bajanowski, B. Rolf, G. Jorch, B. Brinkmann, Detection of RNA viruses in sudden infant death (SID). International Journal of Legal Medicine. ,vol. 117, pp. 237- 240 ,(2003) , 10.1007/S00414-003-0367-6
Caroline Rambaud, Michèle Guibert, Elisabeth Briand, Liliane Grangeot-Keros, Aurore Coulomb-L'Herminé, Michel Dehan, Microbiology in sudden infant death syndrome (SIDS) and other childhood deaths. Fems Immunology and Medical Microbiology. ,vol. 25, pp. 59- 66 ,(1999) , 10.1111/J.1574-695X.1999.TB01327.X
Shumpei Yokota,, Tomoyuki Imagawa,, Takako Miyamae,, Shu-Ichi Ito,, Shoko Nakajima,, Atsuo Nezu, Masaaki Mori, Hypothetical pathophysiology of acute encephalopathy and encephalitis related to influenza virus infection and hypothermia therapy. Pediatrics International. ,vol. 42, pp. 197- 203 ,(2000) , 10.1046/J.1442-200X.2000.01204.X
Hisashi Kawashima, Hiroaki Ioi, Masanobu Ushio, Gaku Yamanaka, Shouhei Matsumoto, Tetsuo Nakayama, Cerebrospinal fluid analysis in children with seizures from respiratory syncytial virus infection. Scandinavian Journal of Infectious Diseases. ,vol. 41, pp. 228- 231 ,(2009) , 10.1080/00365540802669543
Yuko Otake, Takanori Yamagata, Yasuko Morimoto, Mari Imi, Masato Mori, Toshinori Aihara, Takashi Ichiyama, Mariko Y. Momoi, Elevated CSF IL-6 in a patient with respiratory syncytial virus encephalopathy. Brain & Development. ,vol. 29, pp. 117- 120 ,(2007) , 10.1016/J.BRAINDEV.2006.06.008