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Child suffering from encephalitis. Have fever and muscle weakness. MRI of the brain and chest done. What is the further treatment?

my son has been sick for more than a year doctors do not seem to know the problem he has had high fevers he has muscle weekness encefelitis they have done blood test mri of the brain and chest also blood cultures can you tell me what other possible things could he have or other test can i ask to be done i live in mexico
Asked On : Tue, 22 Jan 2013
Answers:  3 Views:  23
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Pediatrician 's  Response
Feb 2013
Thank you for your query,
With the information you provided it is very difficult to tell the problems of your child and its management.
What are the findings of MRI brain and chest? What type of treatment is he receiving now? Has lumber puncture been performed and What are the findings on CSF analysis? What blood work up has been done?
These basic things are necessary to give you proper advise. So please provide the total information about your child to give you advise further.
Hope i have answered your query.
Answered: Tue, 22 Jan 2013
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Pediatrician Dr. Diana Divakar's  Response
Thank you for choosing to post your queries and for giving us this opportunity to clarify your doubts.
Well, I am sorry to say but I have a lot of questions running in my mind after reading your question!! It will be very helpful for us if you answer these questions like:
1) How old is your son?
2) Since when is he having this problem?
3) Is it anything to do with his birth? Was his birth normal or by Cesarean section? Did he cry immediately after birth?
4) Did you have any fever/ TORCH infections during pregnancy?
5) What is his immunization status?
6) What exactly happens to your son since past 1 year? How sick is he? Has he needed to be hospitalised?
7) What were the reports of those tests (MRI, blood cultures) you have mentioned?

Well, the answers to all these questions will help us reach to a diagnosis. I would suggest you to collect the answers for all these questions and visit and pediatric neurologist who can see your child and help you with some tests to reach to a diagnosis. With the amount of information that you have given us, we have many differentials in mind, most of which will be ruled out by the questions I have just asked you.

Anyways, I hope I have been able to guide you appropriately and will help you in making the right decision. Take care and stay healthy.
Answered: Tue, 22 Jan 2013
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Pediatrician, Neonatology Dr. Ravikiran Reddy's  Response
Hi I have gone through your complaints. Actually you didn't mention the age of your child which can give a better idea. As your child had fever it can be mostly an infective pathology. So at that time all the investigations were done. If your child is still having weakness then the other possibilities which has to be ruled out are any metabolic disorders . So you need to check the metabolic screen for your child. Other possibilities is any myopathy. So you can check with muscle biopsy. So please discuss with your doctor.
Thank you. Good day
Answered: Tue, 22 Jan 2013
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