How is septic shock caused by viral meningitis treated in newborns and infants?

Updated: Jul 17, 2018
  • Author: Cordia Wan, MD; Chief Editor: Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM  more...
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Answer

Enteroviruses and HSV are each capable of causing viral septic shock in newborns and infants. In these young patients, broad-spectrum antibacterial coverage and acyclovir should be instituted as soon as the diagnosis is suspected. Special attention should be paid to fluid and electrolyte balance (especially sodium), since SIADH has been reported. Fluid restriction, diuretics, and, rarely, hypertonic saline infusion may be used to correct the hyponatremia. Prevention of secondary infections of urinary tract and pulmonary systems is of paramount importance.


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