BMC pediatrics · 2025
Rickettsia felis meningoencephalitis in a 10-year-old child: a case report and literature review.
СтатьяКлинический случайОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Zhang Mingle, Zhu Xiuli, Lu Xiaofei, Jiang Lian, Chen Jian, Diao Yuqiao
Аннотация
BACKGROUND: Rickettsia felis is a zoonotic pathogen belonging to the Rickettsia genus. Infection of children with central nervous system Rickettsia felis is very rare, with only a few cases reported worldwide.
CASE PRESENTATION: We conducted a retrospective analysis of the clinical data, laboratory tests, and imaging results for a pediatric patient diagnosed with Rickettsia felis meningoencephalitis. The patient, an adolescent, initially presented with fever and headache. The condition progressed rapidly within six hours of admission, manifesting as photophobia, lethargy, and nuchal rigidity. The cerebrospinal fluid (CSF) analysis revealed leukocytosis, while cranial magnetic resonance imaging displayed abnormal signals in both basal ganglia and frontal-parietal regions. Detection of Rickettsia felis was confirmed through targeted next-generation sequencing (tNGS) of the CSF. The patient underwent a comprehensive treatment regimen including doxycycline for infection control, alongside glucocorticosteroids and gammaglobulin to manage symptoms and reduce intracranial pressure. The child fully recovered. One month after admission to the hospital for treatment, the child recovered. A month later, the child's CSF was normal and the child recovered completely.
CONCLUSION: This case underscores the importance of enhancing pediatricians' and infectious diseases and neurology experts' comprehension of Rickettsia felis meningoencephalitis through shared diagnostic and therapeutic insights.
CASE PRESENTATION: We conducted a retrospective analysis of the clinical data, laboratory tests, and imaging results for a pediatric patient diagnosed with Rickettsia felis meningoencephalitis. The patient, an adolescent, initially presented with fever and headache. The condition progressed rapidly within six hours of admission, manifesting as photophobia, lethargy, and nuchal rigidity. The cerebrospinal fluid (CSF) analysis revealed leukocytosis, while cranial magnetic resonance imaging displayed abnormal signals in both basal ganglia and frontal-parietal regions. Detection of Rickettsia felis was confirmed through targeted next-generation sequencing (tNGS) of the CSF. The patient underwent a comprehensive treatment regimen including doxycycline for infection control, alongside glucocorticosteroids and gammaglobulin to manage symptoms and reduce intracranial pressure. The child fully recovered. One month after admission to the hospital for treatment, the child recovered. A month later, the child's CSF was normal and the child recovered completely.
CONCLUSION: This case underscores the importance of enhancing pediatricians' and infectious diseases and neurology experts' comprehension of Rickettsia felis meningoencephalitis through shared diagnostic and therapeutic insights.