An adult case with shigellosis-associated encephalopathy
| Autor: | Michelle Gompelman, Wim Ang, Albertus J. Kooter, Heleen Joséphine Schuster |
|---|---|
| Přispěvatelé: | Internal medicine, ACS - Diabetes & metabolism |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Diarrhea
Male Shigellosis Pediatrics medicine.medical_specialty Sexual transmission Fever Encephalopathy Acyclovir medicine.disease_cause Shigella flexneri Men who have sex with men infection (neurology) Feces Sexual and Gender Minorities 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Humans Shigella 030212 general & internal medicine Dysentery Bacillary Unusual Presentation of More Common Disease/Injury Unsafe Sex biology business.industry Incidence (epidemiology) Viral encephalitis public health Ceftriaxone Amoxicillin General Medicine Middle Aged medicine.disease biology.organism_classification Anti-Bacterial Agents Treatment Outcome sexual transmitted infections (bacterial) Encephalitis Drug Therapy Combination business infection (gastroenterology) |
| Zdroj: | BMJ Case Reports, 2018:222372. BMJ Publishing Group BMJ Case Reports Kooter, AJ, schuster, gompelman & ang, W 2018, ' An adult case with shigellosis-associated encephalopathy ', BMJ Case Reports, vol. 2018, 222372 . https://doi.org/10.1136/bcr-2017-222372 |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2017-222372 |
| Popis: | A 45-year-old man was presented at the emergency department with altered neurological status and a 1-day history of diarrhoea and fever. The patient’s sexual history revealed multiple male partners. As bacterial meningitis or viral encephalitis was suspected, treatment was started accordingly. Cerebrospinal fluid investigations only showed a slight increase of leucocytes, and microbiological studies remained negative. Stool culture revealed Shigella flexneri , after which Shigella- associated encephalopathy was suspected. The patient recovered quickly with antibiotic treatment. The incidence of Shigella infections in the Western world is rising due to sexual transmission among men who have sex with men. Shigella -induced encephalopathy is a notorious complication among children with a severe form known as the Ekiri syndrome, though rarely seen in adults. This is the second report of encephalopathy in an adult with S. flexneri enteric infection. |
| Databáze: | OpenAIRE |
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