Pediatric Infectious Disease

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VOLUME 7 , ISSUE 2 ( April-June, 2025 ) > List of Articles

CASE REPORT

A Pediatric Case of Chandipura Virus Encephalitis: Clinical Presentation and Management during an Outbreak

Devesh Joshi, Urvi Dantaliya, Shrushti Gandhi, Vishalkumar Patel, Nitiben S Gor, Geet Gunjana

Keywords : Case report, Chandipura virus, Emerging infection, Viral encephalitis

Citation Information : Joshi D, Dantaliya U, Gandhi S, Patel V, Gor NS, Gunjana G. A Pediatric Case of Chandipura Virus Encephalitis: Clinical Presentation and Management during an Outbreak. Pediatr Inf Dis 2025; 7 (2):65-67.

DOI: 10.5005/jp-journals-10081-1466

License: CC BY-NC 4.0

Published Online: 20-03-2025

Copyright Statement:  Copyright © 2025; The Author(s).


Abstract

Introduction: Chandipura virus (CHPV) is an emerging but underrecognized cause of acute encephalitis syndrome (AES), primarily affecting children in the Indian subcontinent. Typically, CHPV presents as a severe disease with high mortality, with nearly two-thirds of cases resulting in death. Case description: This report highlights an atypical presentation of CHPV encephalitis in an 18-month-old male during a recent outbreak. The child presented with symptoms including high-grade fever, generalized pustular rash, abnormal behavior, and a single episode of generalized tonic-clonic seizures (GTCS). This case is particularly significant due to its mild course and the involvement of skin manifestations, which are uncommon in CHPV infections. Initial investigations revealed normal organ function and normal cerebrospinal fluid (CSF) analysis. The diagnosis was confirmed by positive CHPV serology in serum samples. The patient responded well to supportive care and was discharged after 12 days without further complications. Discussion and conclusion: During the outbreak, six additional cases of suspected CHPV encephalitis were managed, with outcomes ranging from full recovery to fatal multiorgan failure, underscoring the virus's typical severity. The unique presentation of this case contrasts with the usually fatal course of CHPV, emphasizing the variability in clinical manifestations and the importance of early diagnosis and management. This case highlights the need for awareness of CHPV, especially in regions where it is endemic, and calls for further research into the virus's pathogenesis and clinical spectrum.


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  1. Tandale BV, Narang R, Kumar GV, et al. Infectious causes of acute encephalitis syndrome India—decadal change and the way forwardin. Indian Pediatr 2023;60(9):709–713. DOI: 10.1016/j.jcv.2022.105194
  2. Glaser CA, Honarmand S, Anderson LJ, et al. Beyond viruses: clinical profiles and etiologies associated with encephalitis. Clin Infect Dis 2006;43(12):1565–1577. DOI: 10.1086/509330
  3. Sapkal GN, Sawant PM, Mourya DT. Chandipura viral encephalitis: a brief review. Open Virol J 2018;12:44–51. DOI: 10.2174/1874357901812010044
  4. Ba Y, Trouillet J, Thonnon J, et al. Phlébotomes du Sénégal: inventaire de la faune de la région de Kédougou: isolements d'arbovirus. Bull Soc Pathol Exot 1999;92(2):131–135. DOI: 10.1371/journal.pone.0014773
  5. Kemp GE. Viruses other than arenaviruses from West African wild mammals. Factors affecting transmission to man and domestic animals. Bull World Health Organ 1975;52(4–6):615–620. PMID: 1085217.
  6. Acute encephalitis syndrome due to Chandipura virus—India. WHO. 2024. Available from: https://www.who.int/emergencies/disease-outbreak-news/item/2024-DON529.
  7. Rao SN, Wairagkar NS, Mohan VM, et al. Brainstem encephalitis associated with Chandipura in Andhra Pradesh outbreak. J Trop Pediatr 2008;54(1):25–30. DOI: 10.1093/tropej/fmm078
  8. Tandale BV, Tikute SS, Arankalle VA, et al. Chandipura virus: a major cause of acute encephalitis in children in North Telangana, Andhra Pradesh, India. J Med Virol 2008;80(1):118–124. DOI: 10.1002/jmv.21041
  9. Chadha MS, Arankalle VA, Jadi RS, et al. An outbreak of Chandipura virus encephalitis in the eastern districts of Gujarat state, India. Am J Trop Med Hyg 2005;73(3):566–570. PMID: 16172482.
  10. Sudeep AB, Gurav YK, Bondre VP. Changing clinical scenario in Chandipura virus infection. Indian J Med Res 2016;143(6):712–721. DOI: 10.4103/0971-5916.191929
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