<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0123-9392</journal-id>
<journal-title><![CDATA[Infectio]]></journal-title>
<abbrev-journal-title><![CDATA[Infect.]]></abbrev-journal-title>
<issn>0123-9392</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Infectología.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0123-93922025000100012</article-id>
<article-id pub-id-type="doi">10.22354/24223794.1210</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización de la encefalitis infecciosa aguda por Chikungunya en población pediátrica en el año 2023]]></article-title>
<article-title xml:lang="en"><![CDATA[Characterization of acute infectious encephalitis due to chikungunya in the pediatric population in 2023]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Samudio-Domínguez]]></surname>
<given-names><![CDATA[Gloria Celeste]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz-Cuquejo]]></surname>
<given-names><![CDATA[Lidia María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Volkart]]></surname>
<given-names><![CDATA[Karim]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortega Gaona]]></surname>
<given-names><![CDATA[Natalia Berenice]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quintero]]></surname>
<given-names><![CDATA[Lorena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Riveros]]></surname>
<given-names><![CDATA[Gloria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad María Auxiliadora  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Nacional  ]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,https://orcid.org/0000-0002-0243-852X  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,https://orcid.org/0009-0005-7711-4502  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Central del IPS  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,https://orcid.org/0009-0007-1729-9490  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af7">
<institution><![CDATA[,https://orcid.org/0009-0001-6319-8881  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af8">
<institution><![CDATA[,https://orcid.org/0009-0000-7280-2318  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<volume>29</volume>
<numero>1</numero>
<fpage>12</fpage>
<lpage>15</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0123-93922025000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0123-93922025000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0123-93922025000100012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: Chikungunya está causada por un arbovirus, trasmitido por mosquitos de la especie Aedes. Puede presentarse como forma clásica o atípica. Manifestaciones atípicas incluyen afectación de muchos órganos vitales; entre ellos, la encefalitis aguda es la forma más frecuente de afectación neurológica. El objetivo de este estudio fue caracterizar los casos de encefalitis por CHIK-V.  Materiales y métodos: Descriptivo, prospectivo, observacional, de prevalencia enero a marzo 2023. Pacientes pediátricos, con diagnóstico de CHIK-V por PCR en sangre, y con diagnóstico de encefalitis por PCR-RT y/o alteraciones del LCR.  Resultados: De 157 pacientes, 36 (22,9%) con diagnóstico de encefalitis De ellos, 36,6% recién nacidos, 27,7% lactantes menores, 11% lactantes mayores, 25% escolares. 17(47,2%) fueron mujeres. Fiebre en 100%, convulsiones 52,7%, exantema 50%, acrocianosis 30,5%, alteración del sensorio 11%. LCR con hiperproteinorraquia en 63,8%, pleocitosis con predominio de mononucleares en 72,2%. Ambas alteraciones simultáneamente 52,7%. El PCR-RT en LCR fue positivo en 69,4%. Quince (41,6%) ingresaron a unidad de terapia intensiva por choque o alteración encefálica, Siete pacientes recibieron inmunoglobulinas intravenosas, además de la terapia de soporte. No se registró mortalidad.  Discusión: La encefalitis por CHIK-V se presentó en 22% de pacientes, afectó principalmente a RN y lactantes menores. Las alteraciones del LCR fueron pleocitosis e hiperproteinorraquia. No se registró mortalidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Chikungunya is caused by an arbovirus transmitted by mosquitoes of Aedes species. It can present as a classic or atypical form. Atypical manifestations include involvement of many vital organs; among them, acute encephalitis is the most common form of neurological involvement. The objective of this study was to characterize CHIK-V encephalitis.  Materials and methods: Descriptive, prospective, observational, prevalence between January and March 2023. Pediatric patients with a diagnosis of CHIK-V by PCR in blood and with a diagnosis of encephalitis by PCR-RT and/or CSF alterations.  Results: Of 157 patients, 36 (22.9%) were diagnosed with encephalitis. Of these, (36.6%) newborns, (27.7%) minor infants, (11%) older infants, (25%) children. 17 (47.2%) were female. Fever occurred in 100%, convulsions in 52.7%, rash in 50%, acrocyanosis in 30.5%, and sensorium alteration in 11%. CSF showed hyperproteinorrachia in 63.8% of patients, predominantly mononuclear pleocytosis in 72.2% of patients. Both the alterations occurred simultaneously (52.7 %). The PCR-RT rate of positivity in the CSF was 69.4%. Fifteen (41.6%) patients were admitted to the PICU because of shock or brain alterations. Seven patients received intravenous immunoglobulins in addition to the supportive therapy. No mortality was observed in any patient.  Discussion: CHIK-V encephalitis occurred in 22% of the patients, mainly affecting newborns and young infants. The CSF alterations included pleocytosis and hyperproteinorrachia. No mortality was recorded.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[chikungunya]]></kwd>
<kwd lng="es"><![CDATA[encefalitis]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="en"><![CDATA[chikungunya]]></kwd>
<kwd lng="en"><![CDATA[encephalitis]]></kwd>
<kwd lng="en"><![CDATA[pediatrics]]></kwd>
</kwd-group>
</article-meta>
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