Encephalitis with convulsive status in an immunocompetent pediatric patient caused by Bartonella henselae
10.1016/j.apjtm.2016.03.030
- Author:
Rosario CERPA POLAR
1
;
Gabriela ORELLANA
2
;
Javier SANTISTEBAN
2
;
Wilmer SILVA CASO
3
;
José SÁNCHEZ CARBONEL
3
;
Juana DEL VALLE MENDOZA
3
;
Wilmer SILVA CASO
4
;
Juana DEL VALLE MENDOZA
4
;
Javier SANTISTEBAN
5
Author Information
1. Infectogía Pediátrica, Servicio de Pediatría Especializada, Hospital Edgardo Rebagliati Martins
2. Neurologia Pediátrica, Hospital Edgardo Rebagliati Martins
3. School of Medicine, Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas
4. Faculty of Health Sciences, Research Center of the Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas
5. Clínica Pediatrica, Hospital Edgardo Rebagliati Martins
- Publication Type:Journal Article
- Keywords:
Bartonella henselae;
Cat scratch's disease;
Convulsive status;
Encephalitis;
Immunocompetent;
Pediatric patient
- From:
Asian Pacific Journal of Tropical Medicine
2016;9(6):610-613
- CountryChina
- Language:Chinese
-
Abstract:
Cat scratch's disease caused by Bartonella henselae, is known to be a self-limited benign process in immunocompetent children. The association with neurologic manifestations is very uncommon especially in patient with no immunologic defects and in cases without specific treatment. A 7 years old male patient, without any immunocompromised defect, presented an atypic presentation of the cat scratch disease. The patient came to the hospital in two opportunities in a status epilepticus, in both cases the diagnosis was encephalitis by Bartonella henselae and the evolution with treatment was monitored with PCR (polymerase chain reaction) in cerebrospinal fluid and blood, as well as IFI (IgM, IgG) serology (indirect immunofluorescence). The patient had a favorable clinical and laboratory evolution for 6 months showing no recurrence of the disease.
