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VOLUME 52 , ISSUE 3 ( July-September, 2018 ) > List of Articles

CASE REPORT

Oral Self-mutilation: The Rare Neurological Manifestation in a Case of Japanese Encephalitis

Gauba Krishan, Goyal Ashima

Keywords : Japanese encephalitis virus, Self-injurious behavior,Japanese encephalitis

Citation Information : Krishan G, Ashima G. Oral Self-mutilation: The Rare Neurological Manifestation in a Case of Japanese Encephalitis. J Postgrad Med Edu Res 2018; 52 (3):147-149.

DOI: 10.5005/jp-journals-10028-1290

License: CC BY-NC 4.0

Published Online: 00-09-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Self-mutilation is a behavioral disturbance characterized by the deliberate destruction of or damage to body tissues. This case report describes a 7-year-old child reported with multiple ulcerations in the oral cavity due to self-biting. Intraoral examination showed ulcerations on the left and right buccal mucosa and tongue. Medical history revealed history of fever accompanied by acute onset of flaccid paralysis and encephalopathy. Magnetic resonance imaging brain was suggestive of acute viral meningoencephalitis. Japanese encephalitis (JE) infection was confirmed by immunoglobulin M (IgM) detection. The damage due to self-biting was progressive in nature and the patient\'s condition did not improve on medication. Extractions of permanent teeth were carried out under local anesthesia to prevent the self-injurious behavior (SIB).


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