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
|Received||August 31, 2015|
|Accepted||November 18, 2015|