Short- and Long-Term Outcomes of Central Nervous Systems in Pediatric Patients

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Infectious Diseases".

Deadline for manuscript submissions: 20 December 2024 | Viewed by 828

Special Issue Editor


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Guest Editor
1. Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli, Rome, Italy
2. Dipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie, Università Cattolica del Sacro Cuore, Rome, Italy
3. Global Health Research Institute, Istituto di Igiene, Università Cattolica del Sacro Cuore, Rome, Italy
Interests: pediatric infectious diseases; global health; point of care ultrasound applied to infectious diseases
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Special Issue Information

Dear Colleagues,

There is a knowledge gap in the literature about the short- and long-term outcomes of children with different types of central nervous system infections, in line with the age of diagnosis of an infection.

Through reviews and original papers, this Special Issue aims to improve our knowledge about short-term outcomes and sequelae in children with central nervous system infections.

Dr. Danilo Buonsenso
Guest Editor

Manuscript Submission Information

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Keywords

  • central nervous system
  • infections
  • newborns

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Published Papers (1 paper)

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Review

15 pages, 882 KiB  
Review
Epidemiology of Endocrine Dysfunctions in Pediatric Patients with Previous Central Nervous System Infection: A Scoping Review of the Literature
by Giorgio Sodero, Clelia Cipolla, Laura Martino, Carolina Gentili, Claudia Rendeli and Danilo Buonsenso
Children 2024, 11(7), 794; https://doi.org/10.3390/children11070794 - 28 Jun 2024
Viewed by 667
Abstract
Purpose The incidence of endocrine sequelae following central nervous system (CNS) infections in pediatric age is not known. We conducted this scoping review to assess the incidence of endocrinological alterations in patients with prior CNS infections in pediatric age. Methods Our screening process [...] Read more.
Purpose The incidence of endocrine sequelae following central nervous system (CNS) infections in pediatric age is not known. We conducted this scoping review to assess the incidence of endocrinological alterations in patients with prior CNS infections in pediatric age. Methods Our screening process included both randomized and non-randomized controlled trials. All types of observational studies, prospective and retrospective, have been included. Results Ten studies were included in our review. The cumulative number of patients in all of the studies was 211, the mean age of the population study was 4.9 (±5 years). The included papers described the following acute CNS infections: meningitis (nine studies reported eighty-five cases) and encephalitis (three studies described sixty-five cases). Two case reports and one retrospective study reported hypopituitarism as a consequence of Mycobacterium tuberculosis CNS infection. In five studies the patients developed endocrine comorbidities at the time of infection. Another study analyzed 49 young adults who previously had tuberculous meningitis at a mean age of 5.9 ± 5.0 years: seven patients had growth hormone deficiency, four of whom also had gonadotropin deficiency; the other three had gonadotropin deficiency, corticotropin deficiency, and mild hyperprolactinemia. Conclusion Standardized multidisciplinary follow-up and research of patients with prior CNS infection is crucial. Although pituitary reserve screening is not commonly performed in these patients, clinical and research centers should set up an endocrinological evaluation with monitoring of auxological parameters to detect the signs and symptoms of hypopituitarism early and to initiate the appropriate care in children with previous CNS infections. Full article
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