Abstract
Japanese encephalitis (JE) is the important cause of Acute Encephalitis Syndrome (AES). However, in large proportion of AES cases, the specific cause cannot not be established. For this, scrub typhus is one such emerging cause. In line with this, first such case report on AES in Odisha due to scrub encephalopathy in paediatric age group is presented.J Nepal Paediatr Soc 2016;36(3):307-309
Highlights
Acute Encephalitis Syndrome (AES) poses a great public health problem in India, as 50,000 cases and 10,000 deaths annually have been reported[1]
Japanese encephalitis (JE) is important cause of AES, supported by the fact that AES surveillance is paralleled to JE surveillance
For the cases of AES not explained by JE, aetiology could be scrub typhus, a hidden entity
Summary
Acute Encephalitis Syndrome (AES) poses a great public health problem in India, as 50,000 cases and 10,000 deaths annually have been reported[1]. Viewing the Unseen: Scrub Encephalopathy as an Important Differential Diagnosis of AES. In 2014, the total numbers of AES cases and deaths reported from India were 10,853 and 1,717 respectively and the corresponding values for JE were 1,657 (~15%) and 293 (~17%) respectively. This implies that other undiscovered aetiology of AES, which accounts for about 85%, exists.In various studies of patients with AES, in one-third cases the specific cause could not be established[2].
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