The Journal of Pediatric Infectious Diseases and lmmunology Online Journal

Abstract

The Journal of Pediatric Infectious Diseases and Immunology > Vol.27 No.4 contents > Abstract

Article in Japanese

Acute focal bacterial nephritis accompanying clinically mild encephalitis/encephalopathy with a reversible splenial lesion: a case report

Junji AZUMA1), Toshiya KATSURA1), Satomi KAJITA1), Kyoko YAMAMOTO1), Eri KIJIMA1), Hiroshi KANENO1), Yoshimi MIZOGUCHI1), Tsunesuke SHIMOTSUJI1), Takehisa YAMAMOTO1)

This study reported a case of mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) accompanying acute focal bacterial nephritis (AFBN). A 3 year-old girl was admitted to this hospital complaining of fever, seizure and blunted consciousness. Abnormal findings in the brain and abdominal magnetic resonance imaging (MRI) suggested the co-existence of MERS and AFBN. This study found Enterococcus faecalis in the urinary culture, with no abnormal findings in urinalysis. The patient was treated with ampicillin, which led to a rapid recovery with normal condition and consciousness. Abnormal findings in the brain and abdominal MRI disappeared after 20 days. On the basis of these clinical courses, it is important to speculate that co-existence of AFBN and MERS in a patient with symptoms of encephalitis or encephalopathy is in the presence of fever from an unknown origin.


1) Department of Pediatrics, Minoh City Hospital

Key words
Received August 31, 2015
Accepted November 18, 2015

27 (4):311─316,2016

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