Acute encephalitis syndrome
Long standing mystery disease
Affecting mainly north Bihar
especially MUZAFFARPUR
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AES
AES DR.KHURSHID ALAM MEDICAL OFFICER VAISHALI
AES Acute encephalitis syndrome Long standing mystery disease Affecting mainly north bihar especially MUZAFFARPUR
AES Mystery since two decades First noticed in2008 Claimed over more than thousand death Occurs in summer Has direct correlation with heat and humidity Arrival of monsoon leads to end of this disease
AES Unknown etiology Clinically neurological manifestation caused by wide range of bacteria, virus, chemical, fungus etc
AES SYMPTOM High fever with change in mental status including symptoms such as confusion , disorientation , inability to talk , seizure , coma AFFECTED AGE GROUP 1-10 years
AES RESEARCH DR. T Jacob ( it is caused by a toxic substance in lichi AIIMS-Patna (it is due to contaminated water in Gandak river RMRI MS- (Published a hypothesis in international journal of current microbiology and applied science in Nov.13
AES LAB INVESTIGATION Nothing detected in Blood , Brain , other Body fluid and B ody organ Low blood sugar in most of the patient Majority of patient are malnourished and belonged to low socio economic group
AES MANAGEMENT Mainly symptomatic Paracetamol for fever Seadetive for convulsion DNS/10% Dextrose for hopoglysemia Oxygen Ventilatory support
AES PREVENTION JE Vaccination Prevent mosquito bite Prevent sun stroke Don’t eat contaminated fruit and water Stay away from pig Don’t miss dinner