3. Acute encephalitis syndrome
Long standing mystery disease
Affecting mainly north bihar
especially MUZAFFARPUR
4. 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
5. Unknown etiology
Clinically neurological manifestation caused
by wide range of bacteria, virus, chemical,
fungus etc
6. 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
7. 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
8. LAB INVESTIGATION
Nothing detected in Blood , Brain , other
Body fluid and Body organ
Low blood sugar in most of the patient
Majority of patient are malnourished and
belonged to low socio economic group
9. MANAGEMENT
Mainly symptomatic
Paracetamol for fever
Seadetive for convulsion
DNS/10% Dextrose for hopoglysemia
Oxygen
Ventilatory support