Spectrum Analysis of Cases of Japanese Encephalitis in Jharkhand, India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Japanese Encephalitis is increasingly becoming a major cause of viral encephalitis in many countries of Asia including India. Though initially thought to be sporadic, cases are found all year around in Jharkhand. There is no specific drug against the virus as of yet hence, without high level supportive care the mortality can be as high as 42% especially in children and elderly.This study encompasses 14 proven cases of Japanese Encephalitis admittedfrom September 2015 to October 2016 in Unit-II of Department of Paediatrics, RIMS, Ranchi. This is an observational study and throws light upon the presenting complains, natural history, duration of stay, clinical outcome and presence of sequel in cases of JE in and around the state of Jharkhand, India.The results show that the cases were mostly clustered during the months of August and September. The mean age of presentation is 9.86 years. Most common presenting complaints were fever(100%) and abnormal body movement(85.7%). The mean duration of hospital stay was 16.14 days. With provision of high level tertiary care facility, only 1 deathoccurred(7.1%) and 4 patients(28.5%) did not suffer any sequel. Amongst those who had residual sequel the most common were speech disturbances(50%) and tremors(42.8%).
Authors and Affiliations
Dr Amar Verma, Dr Zeeshan Ahmed, Dr Shashank Shekhar, Dr Monazeer Ahsan
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