Key result
Clinicopathologic observations in five children with acute, toxic, non-suppurative encephalitis revealed acute and peracute processes of liquefaction in three cases and less characteristic toxic lesions in two.
Case Report (n=5)
This case series describes the clinicopathologic features of acute, toxic, non-suppurative encephalitis in children, highlighting processes of liquefaction in some cases.
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Hypothesis-generating for liquefaction in pediatric toxic encephalitis; larger studies needed before diagnostic or therapeutic implications.
In the present study are recorded the clinicopathologic observations in five cases which may generally be classified as acute, toxic, non-suppurative encephalitis. The first three cases presented a rather unusual, though characteristic pathologic picture in the form of acute and peracute processes of liquefaction. In the last two cases, the pathologic changes were less characteristic and corresponded largely with the condition ordinarily described in toxic, noninflammatory lesions of the brain. The clinical features in cases 1 and 4 were discussed by Beverly,1who, however, did not give a detailed pathologic description. Nonsuppurative encephalitis has been known to occur: (1) as hemorrhagic encephalitis of the Struempell and Leichtenstern2type; (2) as postinfectious encephalitis, a sequel both to the exanthematous diseases and to influenza, as described by Oppenheim,3Abt4and others; (3) as epidemic encephalitis. But in recent years, a series of cases has been reported by various
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Allison Low (1930) conducted a case report in Acute, toxic, non-suppurative encephalitis (n=5). Clinicopathologic observations in five children with acute, toxic, non-suppurative encephalitis revealed acute and peracute processes of liquefaction in three cases and less characteristic toxic lesions in two.
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