Archives de pediatrie : organe officiel de la Societe francaise de pediatrie · 1996
[Fulminant encephalopathy due to Shigella flexneri].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Dieu-Osika S, Tazarourte-Pinturier M F, Dessemme P, Rousseau R, Sauvion S, Nathanson M, Gaudelus J
Аннотация
BACKGROUND: In some rare cases, Shigella flexneri infection may be associated with fulminating encephatopathy.
CASE REPORT: A 6-year-old girl was admitted with fever, diarrhea and consciousness abnormalities. Brain CT scan was normal. Shigella flexneri type 2 was isolated from the stools. Despite antibiotic therapy, the encephalopathy was lethal. Two siblings were also infected, the first with only diarrhea, the second with headache and mild consciousness abnormalities: both children had a favorable course.
CONCLUSIONS: Shigella flexneri encephalopathy is associated with high mortality rate in developed countries. Presence of headache could be a poor prognostic factor.
CASE REPORT: A 6-year-old girl was admitted with fever, diarrhea and consciousness abnormalities. Brain CT scan was normal. Shigella flexneri type 2 was isolated from the stools. Despite antibiotic therapy, the encephalopathy was lethal. Two siblings were also infected, the first with only diarrhea, the second with headache and mild consciousness abnormalities: both children had a favorable course.
CONCLUSIONS: Shigella flexneri encephalopathy is associated with high mortality rate in developed countries. Presence of headache could be a poor prognostic factor.