The 7-year-old patient was admitted to the hospital on the second day of the disease in a state of fever, epigastric pain, increased white blood cells and liver enzymes. Initially, the child was treated with broad-spectrum intravenous antibiotics, and tests were performed to find the cause of the disease.
However, the high fever lasted for more than 7 days. After that, the child experienced many whole-body convulsions, and his perception gradually deteriorated. Test results of cerebrospinal fluid showed increased white blood cells, suggesting central nervous system infection, but initial tests have not identified the cause.
The Department of Infectious Diseases (Phildren's Hospital 2) comprehensively re-evaluated, the child had some small neck lymph nodes, accompanied by prolonged fever, increased white blood cells, increased liver enzymes and manifestations of central nervous system damage. EBV was identified as one of the causes that needed to be considered.
PCR results showed EBV virus in cerebrospinal fluid, providing important evidence that EBV is related to children's encephalitis pathology.
After re-evaluating the infection, the child was given antibiotics and continued supportive treatment, including controlling cerebral edema, preventing seizures, monitoring neurological complications, and ensuring nutrition and electrolyte balance.
After 15 days of treatment, the child recovered consciousness, became alert, no longer had seizures, and ate and lived well. The child was discharged from the hospital in stable condition.
