Symptoms of baby encephalitis

Written by Yan Xin Liang
Pediatrics
Updated on September 26, 2024
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Generally speaking, the symptoms of encephalitis in babies usually start with fever. Encephalitis is an infectious disease, and the majority of cases present with fever, which could be either high or low. Next is vomiting. Since small infants cannot express headache, they usually manifest symptoms through crying, irritability, and restlessness. Additionally, there might be lethargy and malaise. Some may experience seizures, and others might have stiff neck, characterized by rigidity of the neck and changes in muscle tone of the limbs, among other symptoms. These are all symptoms of encephalitis.

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Written by Zhang Hui
Neurology
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What are the symptoms of encephalitis?

The clinical manifestations of encephalitis are complex and varied, primarily caused by infections from pathogens such as viruses and bacteria. There are numerous clinical symptoms, with fever being quite common; patients generally exhibit significant fevers, which can reach up to 38 degrees Celsius or even as high as 40 degrees Celsius. Headache is also a very common clinical manifestation of encephalitis, with some patients experiencing severe headaches accompanied by pronounced nausea and vomiting. Additionally, some patients may exhibit psychiatric symptoms, which mainly include incoherent speech, hallucinations, and failing to recognize family members. Some patients may experience cognitive impairments, such as diminished memory, and significant deficits in computational and judgment abilities. In severe cases, some patients may have epileptic seizures, characterized by convulsions of the limbs. Overall, the manifestations of encephalitis are diverse and can range from simple fever and headache to severe conditions such as psychiatric symptoms, cognitive impairments, and epilepsy.

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Neurology
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Pediatric Encephalitis Examination Items

Encephalitis in children is primarily due to a lowered immune resistance, which leads to infection by certain viruses. These viruses invade the nervous system, causing damage to neurons, resulting in symptoms such as fever, headache, nausea, and vomiting. Generally, the main tests for pediatric encephalitis include hematological tests related to bleeding, primarily involving routine blood tests, C-reactive protein, and erythrocyte sedimentation rate. These indices can reflect the inflammatory conditions inside the patient's body, helping to distinguish between viral and bacterial infections. Another very important auxiliary examination is the electroencephalogram (EEG), where pediatric encephalitis can show mild to moderate abnormalities, which is helpful for accurate diagnosis. The third examination involves performing a lumbar puncture to test the cerebrospinal fluid (CSF) for the levels of white cells, glucose, and chloride, which are crucial for diagnosing encephalitis and differentiating it from other types of encephalitis.

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Neurology
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What tests are done for pediatric encephalitis?

Some auxiliary examinations are very necessary for pediatric encephalitis, which help in the diagnosis and differential diagnosis of encephalitis. The main tests generally include the following: First, an electroencephalogram (EEG), which is the most commonly used examination. It is safe, non-invasive, and relatively accurate. Children with encephalitis will show light to moderate abnormalities in the EEG. Combined with the patient's history of fever and headache, it has important clinical significance for the diagnosis of encephalitis. The second important examination is cranial magnetic resonance imaging (MRI). If the encephalitis is severe, pathological changes in the cerebrospinal fluid can be seen on MRI. The third very important examination is lumbar puncture. Lumbar puncture can mainly determine the pressure of the cerebrospinal fluid, the color of the cerebrospinal fluid, and analyze the levels of white blood cells, glucose, and chloride in the cerebrospinal fluid. This is crucial for diagnosing encephalitis and excluding other types of encephalitis.

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Neurology
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Encephalitis belongs to which department?

Encephalitis is primarily a neurological disorder and is an infectious disease of the central nervous system, mainly diagnosed and treated in neurology. There are many causes of encephalitis, with viral encephalitis being the most common. For example, herpes simplex encephalitis is a typical type seen clinically. Patients may experience fever, even with very high temperatures exceeding 40°C, headaches, nausea, and vomiting. If the condition worsens, seizures, coma, and cognitive impairment may occur. These clinical manifestations require further investigations like electroencephalography, cranial MRI, and lumbar puncture. Additionally, there is a specific type of epidemic, known as Japanese encephalitis, which falls under the category of infectious diseases due to its contagious nature.

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Does encephalitis cause a runny nose?

Encephalitis can potentially cause a runny nose, as it is mainly caused by viral infections. These infections not only invade brain cells, leading to symptoms such as fever, headache, nausea, vomiting, and even seizures related to the nervous system, but can also affect the respiratory tract. If these viruses accumulate in the respiratory tract, particularly in the nasal mucosa, they will definitely cause symptoms such as a runny nose, cough, expectoration, and sore throat. Therefore, it is evident that patients with encephalitis can exhibit symptoms of upper respiratory tract infections. Moreover, some patients initially present with respiratory symptoms, such as a runny nose, before the viruses enter and infect the brain cells. Patients with encephalitis must receive timely treatment, primarily symptomatic treatment to prevent complications, along with antiviral medication for targeted treatment. Most patients have a good prognosis.