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279022

The Results of Meningitis/Encephalitis Panel in Children with Suspected Central Nervous System Infections

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Last updated: 03 Jan 2025

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Abstract

Background: Central nervous system (CNS) infection in pediatrics is a considerable cause of morbidity and fatality. Objective: The aim of the current study was to evaluate the Allplex™ Meningitis Panel Assays (ME) as a rapid diagnostic method for CNS infections. Methods: The study included 329 cerebrospinal fluid (CSF) samples from pediatric patients with suspected CNS infections. The samples were analyzed using the Allplex™ ME panel in the period between January 2020 and January 2022. Result: Out of the 329 CSF samples, 21 (6.4%) cases were positive. The commonest viral pathogen detected was parvo B19 (n=11), followed by human herpes virus 7 (n=3) and human herpes virus 6 (n=2). Streptococcus pneumoniae (n=1) was the only bacterial pathogen detected in our cohort. One patient with parvo B19 encephalitis improved markedly after receiving methylprednisolone. Another patient with parvo B19 was diagnosed consequently as anti-N-methyl-d-aspartate (NMDA) receptor encephalitis. Conclusion: The Allplex™ ME Panel test can rapidly detect 18 pathogens from CSF. In view of antibiotics misuse, ME Panel aids in diagnosis of CNS infection helping the clinicians in early management and shortening the length of hospital stay. Case by case clinical evaluation is mandatory to avoid unnecessary request of the ME panel test. Further testing -specially for CSF autoantibodies- is warranted in case of worsening or unsatisfactory improvement of the condition.

DOI

10.21608/ejhm.2023.279022

Authors

First Name

Maha Zakariya

Last Name

Mohammed

MiddleName

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Affiliation

Departments of Pediatrics1

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First Name

Marwa Ramadan Mohamed

Last Name

Abdelhalim

MiddleName

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Affiliation

Clinical pathology2, Faculty of Medicine, Ain Shams University

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Orcid

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First Name

Hoda Ezz Elarab

Last Name

Abdel Wahab Garrad

MiddleName

-

Affiliation

Clinical pathology2, Faculty of Medicine, Ain Shams University

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Volume

90

Article Issue

1

Related Issue

38787

Issue Date

2023-01-01

Receive Date

2023-01-08

Publish Date

2023-01-01

Page Start

10

Page End

13

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_279022.html

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https://ejhm.journals.ekb.eg/service?article_code=279022

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2

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

The Results of Meningitis/Encephalitis Panel in Children with Suspected Central Nervous System Infections

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Type

Article

Created At

22 Jan 2023