Acute Infectious Encephalitis and Myelitis in Guadeloupe by New Generation Sequencing

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age28+
SponsorCentre Hospitalier Universitaire de la Guadeloupe

About this trial

: Encephalitis or myelitis is defined as the inflammatory or infectious involvement of the cerebral parenchyma or spinal cord. When an infectious origin is suspected, the germ is not always identified. Next-generation sequencing could be used to correct an etiological diagnosis of these severe conditions in Guadeloupe. The rate of cases for which the infectious agent is not identified encourages continued diagnostic efforts, with the objective of identifying new pathogens or emerging pathogens, some of which may be more specific in the tropics.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patient of at least 28 days of life

With acute onset of symptoms for more than 24 hours

a disorder of consciousness or alertness

memory disorder

Disqualifiers

Primary vasculitis of the central nervous system or a documented specific impairment in an autoimmune condition

Cerebral thrombophlebitis if not associated with encephalitis

Meningitis without clinical or paraclinical argument for cerebral parenchymal involvement

Pyogenic abscess

Trial population

Patients with suspected acute infectious encephalitis and / or myelitis, according to the clinical and paraclinical criteria described in recommendations of the International Encephalitis Consortium in 2013 and the by the Transverse Myelitis Consortium Working Group in 2002

Trial design

Design model

Case-only

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

100 Participants
are grouped into 1 trial group
Group A: Encephalitis or myelitis

Trial outcomes

Primary outcomes

1

neurotropic pathogen

The detection of a neurotropic pathogen in the cerebrospinal fluid

Time frame
baseline, 3 month (if necessary)

Secondary outcomes

1

Neuro radiological

Neuro radiological observations

Time frame
baseline, 3 month, 12 month
2

Bacteriological

Bacteriological observations

Time frame
baseline, 15 days , 3 months
3

biochimical

biochimical observations

Time frame
baseline, 15 days, 3 months
4

Clinical neurological

Clinical neurological examination

Time frame
at day 0, at hospital discharge or maximum on the 15th day (+/- 30 days), and 3 months, 12 months

Other outcomes

Sponsors and contacts

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