[A case of clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) associated with infectious endocarditis caused by Staphylococcus aureus].
Identifieur interne : 000322 ( Main/Exploration ); précédent : 000321; suivant : 000323[A case of clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) associated with infectious endocarditis caused by Staphylococcus aureus].
Auteurs : Ryoko Anada ; Takamasa Nukui ; Tomohiro Hayashi ; Hirofumi Konishi ; Nobuhiro Dougu ; Yuji NakatsujiSource :
- Rinsho shinkeigaku = Clinical neurology [ 1882-0654 ] ; 2019.
Descripteurs français
- KwdFr :
- Adolescent, Annuloplastie mitrale, Antibactériens (administration et posologie), Association de médicaments, Corps calleux (imagerie diagnostique), Encéphalite infectieuse (imagerie diagnostique), Encéphalite infectieuse (microbiologie), Encéphalite infectieuse (traitement médicamenteux), Encéphalite infectieuse (étiologie), Endocardite bactérienne (), Endocardite bactérienne (imagerie diagnostique), Endocardite bactérienne (microbiologie), Femelle, Humains, Imagerie par résonance magnétique de diffusion, Indice de gravité médicale, Infections à staphylocoques, Résultat thérapeutique, Staphylococcus aureus, Vancomycine (administration et posologie), Échocardiographie.
- MESH :
- administration et posologie : Antibactériens, Vancomycine.
- imagerie diagnostique : Corps calleux, Encéphalite infectieuse, Endocardite bactérienne.
- microbiologie : Encéphalite infectieuse, Endocardite bactérienne.
- traitement médicamenteux : Encéphalite infectieuse.
- étiologie : Encéphalite infectieuse.
- Adolescent, Annuloplastie mitrale, Association de médicaments, Endocardite bactérienne, Femelle, Humains, Imagerie par résonance magnétique de diffusion, Indice de gravité médicale, Infections à staphylocoques, Résultat thérapeutique, Staphylococcus aureus, Échocardiographie.
English descriptors
- KwdEn :
- Adolescent, Anti-Bacterial Agents (administration & dosage), Corpus Callosum (diagnostic imaging), Diffusion Magnetic Resonance Imaging, Drug Therapy, Combination, Echocardiography, Endocarditis, Bacterial (complications), Endocarditis, Bacterial (diagnostic imaging), Endocarditis, Bacterial (microbiology), Endocarditis, Bacterial (therapy), Female, Humans, Infectious Encephalitis (diagnostic imaging), Infectious Encephalitis (drug therapy), Infectious Encephalitis (etiology), Infectious Encephalitis (microbiology), Meropenem (administration & dosage), Mitral Valve Annuloplasty, Severity of Illness Index, Staphylococcal Infections, Staphylococcus aureus, Treatment Outcome, Vancomycin (administration & dosage).
- MESH :
- chemical , administration & dosage : Anti-Bacterial Agents, Meropenem, Vancomycin.
- complications : Endocarditis, Bacterial.
- diagnostic imaging : Corpus Callosum, Endocarditis, Bacterial, Infectious Encephalitis.
- drug therapy : Infectious Encephalitis.
- etiology : Infectious Encephalitis.
- microbiology : Endocarditis, Bacterial, Infectious Encephalitis.
- therapy : Endocarditis, Bacterial.
- Adolescent, Diffusion Magnetic Resonance Imaging, Drug Therapy, Combination, Echocardiography, Female, Humans, Mitral Valve Annuloplasty, Severity of Illness Index, Staphylococcal Infections, Staphylococcus aureus, Treatment Outcome.
Abstract
A 17-year-old woman was admitted to our hospital because of a high fever, consciousness disturbance, and delirious behavior. Methicillin susceptible Staphylococcus aureus (MSSA) infection was confirmed by blood culture. Transthoracic echocardiogram showed no abnormality at first. Diffusion-weighted brain MRI showed a high intensity lesion in the middle portion of the splenium, which was shown as low intensity on apparent diffusion coefficient map. Then, antibiotics therapy was started against suspected bacterial meningitis, while the lumbar puncture was not performed because of the decreased number of platelets. Since the systolic murmur appeared at the apex on day 12, the diagnosis with infectious endocarditis was made by transthoracic echocardiogram. The MRI abnormalities disappeared on day 16 and we diagnosed her with clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) associated with infectious endocarditis. This case suggests that MERS can occur associated with infectious endocarditis caused by Staphylococcus aureus.
DOI: 10.5692/clinicalneurol.cn-001335
PubMed: 31564706
Affiliations:
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Le document en format XML
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Neurology, Toyama University Hospital.</nlm:affiliation><wicri:noCountry code="subField">Toyama University Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Hayashi, Tomohiro" sort="Hayashi, Tomohiro" uniqKey="Hayashi T" first="Tomohiro" last="Hayashi">Tomohiro Hayashi</name><affiliation><nlm:affiliation>Department of Neurology, Toyama University Hospital.</nlm:affiliation><wicri:noCountry code="subField">Toyama University Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Konishi, Hirofumi" sort="Konishi, Hirofumi" uniqKey="Konishi H" first="Hirofumi" last="Konishi">Hirofumi Konishi</name><affiliation><nlm:affiliation>Department of Neurology, Toyama University Hospital.</nlm:affiliation><wicri:noCountry code="subField">Toyama University Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Dougu, Nobuhiro" sort="Dougu, Nobuhiro" uniqKey="Dougu N" first="Nobuhiro" last="Dougu">Nobuhiro 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xml:lang="en"><term>Endocarditis, Bacterial</term><term>Infectious Encephalitis</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Endocarditis, Bacterial</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Encéphalite infectieuse</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Encéphalite infectieuse</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Diffusion Magnetic Resonance Imaging</term><term>Drug Therapy, Combination</term><term>Echocardiography</term><term>Female</term><term>Humans</term><term>Mitral Valve Annuloplasty</term><term>Severity of Illness Index</term><term>Staphylococcal Infections</term><term>Staphylococcus aureus</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Annuloplastie mitrale</term><term>Association de médicaments</term><term>Endocardite bactérienne</term><term>Femelle</term><term>Humains</term><term>Imagerie par résonance magnétique de diffusion</term><term>Indice de gravité médicale</term><term>Infections à staphylocoques</term><term>Résultat thérapeutique</term><term>Staphylococcus aureus</term><term>Échocardiographie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A 17-year-old woman was admitted to our hospital because of a high fever, consciousness disturbance, and delirious behavior. Methicillin susceptible Staphylococcus aureus (MSSA) infection was confirmed by blood culture. Transthoracic echocardiogram showed no abnormality at first. Diffusion-weighted brain MRI showed a high intensity lesion in the middle portion of the splenium, which was shown as low intensity on apparent diffusion coefficient map. Then, antibiotics therapy was started against suspected bacterial meningitis, while the lumbar puncture was not performed because of the decreased number of platelets. Since the systolic murmur appeared at the apex on day 12, the diagnosis with infectious endocarditis was made by transthoracic echocardiogram. The MRI abnormalities disappeared on day 16 and we diagnosed her with clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) associated with infectious endocarditis. This case suggests that MERS can occur associated with infectious endocarditis caused by Staphylococcus aureus.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Anada, Ryoko" sort="Anada, Ryoko" uniqKey="Anada R" first="Ryoko" last="Anada">Ryoko Anada</name><name sortKey="Dougu, Nobuhiro" sort="Dougu, Nobuhiro" uniqKey="Dougu N" first="Nobuhiro" last="Dougu">Nobuhiro Dougu</name><name sortKey="Hayashi, Tomohiro" sort="Hayashi, Tomohiro" uniqKey="Hayashi T" first="Tomohiro" last="Hayashi">Tomohiro Hayashi</name><name sortKey="Konishi, Hirofumi" sort="Konishi, Hirofumi" uniqKey="Konishi H" first="Hirofumi" last="Konishi">Hirofumi Konishi</name><name sortKey="Nakatsuji, Yuji" sort="Nakatsuji, Yuji" uniqKey="Nakatsuji Y" first="Yuji" last="Nakatsuji">Yuji Nakatsuji</name><name sortKey="Nukui, Takamasa" sort="Nukui, Takamasa" uniqKey="Nukui T" first="Takamasa" last="Nukui">Takamasa Nukui</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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