MERS associated with bacterial translocation in a pediatric patient with congenital portal vein hypoplasia: A case report
Identifieur interne : 000919 ( Main/Exploration ); précédent : 000918; suivant : 000920MERS associated with bacterial translocation in a pediatric patient with congenital portal vein hypoplasia: A case report
Auteurs : George Imataka [Japon] ; Takeshi Yamaguchi [Japon] ; Junpei Ishii [Japon] ; Kei Ogino [Japon] ; Kentaro Okamoto [Japon] ; Takashi Tsuchioka [Japon] ; Shigemi Yoshihara [Japon]Source :
- Experimental and Therapeutic Medicine [ 1792-0981 ] ; 2018.
Abstract
A case of mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) in a female child who developed bacterial translocation from a congenital portal vein hypoplasia is reported. The patient was diagnosed as having portal hypertension after examinations and laboratory results showing splenomegaly and thrombocytopenia at the age of 1 year. The patient required three endoscopic variceal ligation (EVL) surgeries before the age of 9 due to development of multiple esophageal varices. After the second and third EVL procedures, she developed septicemia, possibly due to bacterial translocation associated with the administration of general anesthesia. The day after the third EVL, the patient presented with high fever and neurological disturbances (altered consciousness). Magnetic resonance imaging detected abnormal intensities in the corpus callosum ampulla and cerebral white matter, which suggested a diagnosis of MERS type 2. Considering this clinical course, the possible association between bacterial translocation and MERS in a patient with congenital portal vein hypoplasia and portal hypertension is discussed.
Url:
DOI: 10.3892/etm.2018.6532
PubMed: 30214504
PubMed Central: 6125833
Affiliations:
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id="af2-etm-0-0-6532">Department of First Surgery, Dokkyo Medical University, Shimotsuga, Tochigi 321-0293, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of First Surgery, Dokkyo Medical University, Shimotsuga, Tochigi 321-0293</wicri:regionArea><wicri:noRegion>Tochigi 321-0293</wicri:noRegion></affiliation></author><author><name sortKey="Ishii, Junpei" sort="Ishii, Junpei" uniqKey="Ishii J" first="Junpei" last="Ishii">Junpei Ishii</name><affiliation wicri:level="1"><nlm:aff id="af1-etm-0-0-6532">Department of Pediatrics, Dokkyo Medical University, Shimotsuga, Tochigi 321-0293, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pediatrics, Dokkyo Medical University, Shimotsuga, Tochigi 321-0293</wicri:regionArea><wicri:noRegion>Tochigi 321-0293</wicri:noRegion></affiliation></author><author><name sortKey="Ogino, Kei" sort="Ogino, Kei" uniqKey="Ogino K" first="Kei" last="Ogino">Kei Ogino</name><affiliation wicri:level="1"><nlm:aff id="af2-etm-0-0-6532">Department of First Surgery, Dokkyo Medical University, Shimotsuga, Tochigi 321-0293, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of First Surgery, Dokkyo Medical University, Shimotsuga, Tochigi 321-0293</wicri:regionArea><wicri:noRegion>Tochigi 321-0293</wicri:noRegion></affiliation></author><author><name sortKey="Okamoto, Kentaro" sort="Okamoto, Kentaro" uniqKey="Okamoto K" first="Kentaro" last="Okamoto">Kentaro Okamoto</name><affiliation wicri:level="1"><nlm:aff id="af2-etm-0-0-6532">Department of First Surgery, Dokkyo Medical University, Shimotsuga, Tochigi 321-0293, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of First Surgery, Dokkyo Medical University, Shimotsuga, Tochigi 321-0293</wicri:regionArea><wicri:noRegion>Tochigi 321-0293</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af3-etm-0-0-6532">Department of Pediatric Surgery, Tokyo Medical and Dental University, Tokyo 113-8510, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pediatric Surgery, Tokyo Medical and Dental University, Tokyo 113-8510</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Tsuchioka, Takashi" sort="Tsuchioka, Takashi" uniqKey="Tsuchioka T" first="Takashi" last="Tsuchioka">Takashi Tsuchioka</name><affiliation wicri:level="1"><nlm:aff id="af2-etm-0-0-6532">Department of First Surgery, Dokkyo Medical University, Shimotsuga, Tochigi 321-0293, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of First Surgery, Dokkyo Medical University, Shimotsuga, Tochigi 321-0293</wicri:regionArea><wicri:noRegion>Tochigi 321-0293</wicri:noRegion></affiliation></author><author><name sortKey="Yoshihara, Shigemi" sort="Yoshihara, Shigemi" uniqKey="Yoshihara S" first="Shigemi" last="Yoshihara">Shigemi Yoshihara</name><affiliation wicri:level="1"><nlm:aff id="af1-etm-0-0-6532">Department of Pediatrics, Dokkyo Medical University, Shimotsuga, Tochigi 321-0293, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pediatrics, Dokkyo Medical University, Shimotsuga, Tochigi 321-0293</wicri:regionArea><wicri:noRegion>Tochigi 321-0293</wicri:noRegion></affiliation></author></analytic><series><title level="j">Experimental and Therapeutic Medicine</title><idno type="ISSN">1792-0981</idno><idno type="eISSN">1792-1015</idno><imprint><date when="2018">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>A case of mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) in a female child who developed bacterial translocation from a congenital portal vein hypoplasia is reported. The patient was diagnosed as having portal hypertension after examinations and laboratory results showing splenomegaly and thrombocytopenia at the age of 1 year. The patient required three endoscopic variceal ligation (EVL) surgeries before the age of 9 due to development of multiple esophageal varices. After the second and third EVL procedures, she developed septicemia, possibly due to bacterial translocation associated with the administration of general anesthesia. The day after the third EVL, the patient presented with high fever and neurological disturbances (altered consciousness). Magnetic resonance imaging detected abnormal intensities in the corpus callosum ampulla and cerebral white matter, which suggested a diagnosis of MERS type 2. Considering this clinical course, the possible association between bacterial translocation and MERS in a patient with congenital portal vein hypoplasia and portal hypertension is discussed.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Tada, H" uniqKey="Tada H">H Tada</name></author><author><name sortKey="Takanashi, J" uniqKey="Takanashi J">J Takanashi</name></author><author><name sortKey="Barkovich, Aj" uniqKey="Barkovich A">AJ Barkovich</name></author><author><name sortKey="Oba, H" uniqKey="Oba H">H Oba</name></author><author><name sortKey="Maeda, M" uniqKey="Maeda M">M Maeda</name></author><author><name sortKey="Tsukahara, H" uniqKey="Tsukahara H">H Tsukahara</name></author><author><name sortKey="Suzuki, M" uniqKey="Suzuki M">M Suzuki</name></author><author><name sortKey="Yamamoto, T" uniqKey="Yamamoto T">T Yamamoto</name></author><author><name sortKey="Shimono, T" uniqKey="Shimono T">T Shimono</name></author><author><name 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uniqKey="Ogura K">K Ogura</name></author><author><name sortKey="Yasutomi, M" uniqKey="Yasutomi M">M Yasutomi</name></author><author><name sortKey="Tanizawa, A" uniqKey="Tanizawa A">A Tanizawa</name></author><author><name sortKey="Ohshima, Y" uniqKey="Ohshima Y">Y Ohshima</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li></country><region><li>Région de Kantō</li></region><settlement><li>Tokyo</li></settlement></list><tree><country name="Japon"><noRegion><name sortKey="Imataka, George" sort="Imataka, George" uniqKey="Imataka G" first="George" last="Imataka">George Imataka</name></noRegion><name sortKey="Ishii, Junpei" sort="Ishii, Junpei" uniqKey="Ishii J" first="Junpei" last="Ishii">Junpei Ishii</name><name sortKey="Ogino, Kei" sort="Ogino, Kei" uniqKey="Ogino K" first="Kei" last="Ogino">Kei Ogino</name><name sortKey="Okamoto, Kentaro" sort="Okamoto, Kentaro" uniqKey="Okamoto K" first="Kentaro" last="Okamoto">Kentaro Okamoto</name><name sortKey="Okamoto, Kentaro" sort="Okamoto, Kentaro" uniqKey="Okamoto K" first="Kentaro" last="Okamoto">Kentaro Okamoto</name><name sortKey="Tsuchioka, Takashi" sort="Tsuchioka, Takashi" uniqKey="Tsuchioka T" first="Takashi" last="Tsuchioka">Takashi Tsuchioka</name><name sortKey="Yamaguchi, Takeshi" sort="Yamaguchi, Takeshi" uniqKey="Yamaguchi T" first="Takeshi" last="Yamaguchi">Takeshi Yamaguchi</name><name sortKey="Yoshihara, Shigemi" sort="Yoshihara, Shigemi" uniqKey="Yoshihara S" first="Shigemi" last="Yoshihara">Shigemi Yoshihara</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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