[Acute XXXX : report on 32 consecutive pediatric cases observed in one hospital].

@entity1 @entity1033 @entity198 @entity16 @entity6079 @entity10926
We report 32 cases of acute @entity198 consecutively hospitalized in one hospital, from January 1991 to December 2002. The causative agent was identified in 26 cases (81%). The main associated viruses were @entity6079 (10 @entity1 ; 31%), Herpes simplex (6 @entity1 ; 19%), and enteroviruses (4 @entity1 ; 13%). At the acute phase, the most relevant biological findings were electroencephalogram results and CSF analysis. The initial encephalic imaging was primarily helpful to exclude other @entity16 whereas long-term imaging was a prognostic factor for necrotizing @entity198 . The microbiological diagnosis required several days or weeks to be determined. It did not influence the initial management. In addition to the 6 cases of @entity10926 , 19 @entity1 (78% altogether) were then treated by @entity1033 before a definitive diagnosis was made. Twenty-two @entity1 (69%) had a favorable outcome, 2 (6%) had moderate sequels, 2 (6%) had important ones, and 5 (16%) had major ones. One (3%) @entity1 died. The outcome was highly dependant on the causative agent and the mechanism of @entity198 . This series gives information on the epidemiology of @entity198 in @entity1 in our region over a period of 12 years.
