Abstract Details

Title Pediatric Shigellosis Encephalopathy with Atypical Brain Imaging

Topic Infectious Disease

Presentation(s) P6 - Poster Session 6 (5:30 PM-6:30 PM)

Poster/Presentation
Number 13-007

Objective

We present a comprehensive case report of a previously healthy 5-years-old girl who suffered from shigellosis encephalopathy and was found to have diffuse cortex sparing pattern of abnormal diffusion restriction not commonly associated with shigellosis.

Background Shigellosis is a gastroenteritis disease caused by a class of bacteria known as Shigella. In addition to the typical gastrointestinal symptoms, shigellosis can be associated with neurological extraintestinal manifestations such as encephalopathy and seizures. In this case report, we present a case of a previously healthy five-year old girl who was brought to the hospital for seizures and persistent encephalopathy, after having two days of fever, nausea, vomiting, and non-bloody diarrhea from shigellosis. Our magnetic resonance imaging of the brain revealed a diffuse cortex sparing pattern of abnormal diffusion restriction not commonly associated with shigellosis.

Design/Methods NA

Results NA

Conclusions We provide a comprehensive report of her clinical course during hospitalization including her neurologic examination findings, brain imaging, electroencephalogram, relevant laboratory results, management, and her post-hospitalization course.

Authors/Disclosures
Ging Tang Huang, DO (Kaiser Permanente Los Angeles Medical Center) PRESENTER	Dr. Huang has received personal compensation for serving as an employee of Kaiser Permanente Los Angeles.
Radostina Iordanova, DO (Kaiser Permanente Los Angeles Medical Center)	Dr. Iordanova has nothing to disclose.
Keng Lam, MD (MD Anderson Neuro-Oncology)	Dr. Lam has nothing to disclose.

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