Rehabilitation Management of a Child with Severe Pain after Bacterial Meningoencephalitis

Main Article Content

Budiati Laksmitasari
Luh Karunia Wahyuni
Rizky Kusuma Wardhani
Binar Sasono

Abstract

Introduction: Pain is a common finding in children with meningoencephalitis and can cause negative consequences. We reported a child with severe pain after Acinetobacter meningoencephalitis who underwent rehabilitation management in the outpatient setting.
Case description: A 1-year-4-month-old child was brought to the rehabilitation outpatient clinic with stiffness and severe pain after Acinetobacter meningoencephalitis. She had post-repair amputated tongue, hypertonus muscles, spasticity, and asymmetrical posture. After the rehabilitation programs, the pain was decreased to a moderate intensity.   
Case discussion: The pain can cause a vicious cycle of pain-induced spasms or spasticity that further increases pain. Multiple organ system impairments can cause the pain. A multidisciplinary team is needed to evaluate and manage the multiple sources of pain. Multimodal rehabilitation interventions consisting of 24-hour postural management, spasticity medication, ultrasound therapy, massage, stretching, and orthosis prescription may help to manage the pain.
Conclusion: Pain after meningoencephalitis can be caused by multiple sources and can be managed by multidisciplinary and multimodality approaches.

Article Details

How to Cite
Laksmitasari, B., Wahyuni, L. K., Wardhani, R. K., & Sasono, B. (2024). Rehabilitation Management of a Child with Severe Pain after Bacterial Meningoencephalitis. Indonesian Journal of Physical Medicine and Rehabilitation, 13(01), 28 - 38. https://doi.org/10.36803/indojpmr.v13i01.393
Section
Case Report
Author Biographies

Budiati Laksmitasari, Universitas Indonesia

Department of Physical Medicine and Rehabilitation, Dr Cipto Mangunkusumo Hospital, Faculty of Medicine-Universitas Indonesia, Jakarta, Indonesia

Luh Karunia Wahyuni, Universitas Indonesia

Department of Physical Medicine and Rehabilitation, Dr Cipto Mangunkusumo Hospital, Faculty of Medicine-Universitas Indonesia, Jakarta, Indonesia

Rizky Kusuma Wardhani, Universitas Indonesia

Department of Physical Medicine and Rehabilitation, Dr Cipto Mangunkusumo Hospital, Faculty of Medicine-Universitas Indonesia, Jakarta, Indonesia

Binar Sasono, Universitas Indonesia

Physical Medicine and Rehabilitation Recidency Program, Faculty of Medicine-Universitas Indonesia, Jakarta, Indonesia

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