Clinically mild encephalitis/encephalopathy with a reversible splenial lesion caused by methicillin-sensitive Staphylococcus aureus bacteremia with toxic shock syndrome: a case report
Identifieur interne : 001343 ( Main/Merge ); précédent : 001342; suivant : 001344Clinically mild encephalitis/encephalopathy with a reversible splenial lesion caused by methicillin-sensitive Staphylococcus aureus bacteremia with toxic shock syndrome: a case report
Auteurs : Koki Kosami [Japon] ; Tsuneaki Kenzaka [Japon] ; Yuka Sagara [Japon] ; Kensuke Minami [Japon] ; Masami Matsumura [Japon]Source :
- BMC Infectious Diseases [ 1471-2334 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Antibactériens (usage thérapeutique), Antinéoplasiques (usage thérapeutique), Choc septique (), Choc septique (diagnostic), Corps calleux (imagerie diagnostique), Encéphalite (diagnostic), Encéphalopathies (diagnostic), Femelle, Fièvre (étiologie), Humains, Imagerie par résonance magnétique, Infections à staphylocoques (), Infections à staphylocoques (diagnostic), Infections à staphylocoques (traitement médicamenteux), Staphylococcus aureus (isolement et purification), Tomodensitométrie, Tumeurs du sein (traitement médicamenteux).
- MESH :
- diagnostic : Choc septique, Encéphalite, Encéphalopathies, Infections à staphylocoques.
- imagerie diagnostique : Corps calleux.
- isolement et purification : Staphylococcus aureus.
- traitement médicamenteux : Infections à staphylocoques, Tumeurs du sein.
- usage thérapeutique : Antibactériens, Antinéoplasiques.
- étiologie : Fièvre.
- Adulte d'âge moyen, Choc septique, Femelle, Humains, Imagerie par résonance magnétique, Infections à staphylocoques, Tomodensitométrie.
English descriptors
- KwdEn :
- Anti-Bacterial Agents (therapeutic use), Antineoplastic Agents (therapeutic use), Brain Diseases (diagnosis), Breast Neoplasms (drug therapy), Corpus Callosum (diagnostic imaging), Encephalitis (diagnosis), Female, Fever (etiology), Humans, Magnetic Resonance Imaging, Middle Aged, Shock, Septic (complications), Shock, Septic (diagnosis), Staphylococcal Infections (complications), Staphylococcal Infections (diagnosis), Staphylococcal Infections (drug therapy), Staphylococcus aureus (isolation & purification), Tomography, X-Ray Computed.
- MESH :
- chemical , therapeutic use : Anti-Bacterial Agents, Antineoplastic Agents.
- complications : Shock, Septic, Staphylococcal Infections.
- diagnosis : Brain Diseases, Encephalitis, Shock, Septic, Staphylococcal Infections.
- diagnostic imaging : Corpus Callosum.
- drug therapy : Breast Neoplasms, Staphylococcal Infections.
- etiology : Fever.
- isolation & purification : Staphylococcus aureus.
- Female, Humans, Magnetic Resonance Imaging, Middle Aged, Tomography, X-Ray Computed.
Abstract
Clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) is a mild encephalopathy caused by various pathological processes, but encephalopathy due to bacteria is rare.
We report the case of a 45-year-old Japanese woman who on receiving chemotherapy for advanced breast cancer developed an altered mental status and dysarthria soon after fever from infection of a subcutaneous implantable port.
We diagnosed this case as MERS caused by
Url:
DOI: 10.1186/s12879-016-1516-0
PubMed: 27091490
PubMed Central: 4836078
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PMC:4836078Le document en format XML
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uniqKey="Matsumura M" first="Masami" last="Matsumura">Masami Matsumura</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke</wicri:regionArea><wicri:noRegion>Shimotsuke</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27091490</idno><idno type="pmc">4836078</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4836078</idno><idno type="RBID">PMC:4836078</idno><idno type="doi">10.1186/s12879-016-1516-0</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000164</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000164</idno><idno type="wicri:Area/Pmc/Curation">000164</idno><idno type="wicri:explorRef" 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type="main">Clinically mild encephalitis/encephalopathy with a reversible splenial lesion caused by methicillin-sensitive <italic>Staphylococcus aureus</italic> bacteremia with toxic shock syndrome: a case report</title><author><name sortKey="Kosami, Koki" sort="Kosami, Koki" uniqKey="Kosami K" first="Koki" last="Kosami">Koki Kosami</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke</wicri:regionArea><wicri:noRegion>Shimotsuke</wicri:noRegion></affiliation></author><author><name sortKey="Kenzaka, Tsuneaki" sort="Kenzaka, Tsuneaki" uniqKey="Kenzaka T" first="Tsuneaki" last="Kenzaka">Tsuneaki Kenzaka</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke</wicri:regionArea><wicri:noRegion>Shimotsuke</wicri:noRegion></affiliation><affiliation><nlm:aff id="Aff2">Division of Community Medicine and Career Development, Kobe University Graduate School of Medicine, 2-1-5, Arata-cho, Hyogo-ku, Kobe, Hyogo 652-0032 Japan</nlm:aff><wicri:noCountry code="subfield">Hyogo 652-0032 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Sagara, Yuka" sort="Sagara, Yuka" uniqKey="Sagara Y" first="Yuka" last="Sagara">Yuka Sagara</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Breast Surgery, Jichi Medical University, Shimotsuke, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Breast Surgery, Jichi Medical University, Shimotsuke</wicri:regionArea><wicri:noRegion>Shimotsuke</wicri:noRegion></affiliation></author><author><name sortKey="Minami, Kensuke" sort="Minami, Kensuke" uniqKey="Minami K" first="Kensuke" last="Minami">Kensuke Minami</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke</wicri:regionArea><wicri:noRegion>Shimotsuke</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of General Medicine, Toyooka Public Hospital, Toyooka, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of General Medicine, Toyooka Public Hospital, Toyooka</wicri:regionArea><wicri:noRegion>Toyooka</wicri:noRegion></affiliation></author><author><name sortKey="Matsumura, Masami" sort="Matsumura, Masami" uniqKey="Matsumura M" first="Masami" last="Matsumura">Masami Matsumura</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke</wicri:regionArea><wicri:noRegion>Shimotsuke</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Infectious Diseases</title><idno type="eISSN">1471-2334</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anti-Bacterial Agents (therapeutic use)</term><term>Antineoplastic Agents (therapeutic use)</term><term>Brain Diseases (diagnosis)</term><term>Breast Neoplasms (drug therapy)</term><term>Corpus Callosum (diagnostic imaging)</term><term>Encephalitis (diagnosis)</term><term>Female</term><term>Fever (etiology)</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Middle Aged</term><term>Shock, Septic (complications)</term><term>Shock, Septic (diagnosis)</term><term>Staphylococcal Infections (complications)</term><term>Staphylococcal Infections (diagnosis)</term><term>Staphylococcal Infections (drug therapy)</term><term>Staphylococcus aureus (isolation & purification)</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Antibactériens (usage thérapeutique)</term><term>Antinéoplasiques (usage thérapeutique)</term><term>Choc septique ()</term><term>Choc septique (diagnostic)</term><term>Corps calleux (imagerie diagnostique)</term><term>Encéphalite (diagnostic)</term><term>Encéphalopathies (diagnostic)</term><term>Femelle</term><term>Fièvre (étiologie)</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Infections à staphylocoques ()</term><term>Infections à staphylocoques (diagnostic)</term><term>Infections à staphylocoques (traitement médicamenteux)</term><term>Staphylococcus aureus (isolement et purification)</term><term>Tomodensitométrie</term><term>Tumeurs du sein (traitement médicamenteux)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Bacterial Agents</term><term>Antineoplastic Agents</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Shock, Septic</term><term>Staphylococcal Infections</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Brain Diseases</term><term>Encephalitis</term><term>Shock, Septic</term><term>Staphylococcal Infections</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Choc septique</term><term>Encéphalite</term><term>Encéphalopathies</term><term>Infections à staphylocoques</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Corpus Callosum</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Breast Neoplasms</term><term>Staphylococcal Infections</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Fever</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Corps calleux</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Staphylococcus aureus</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Staphylococcus aureus</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Infections à staphylocoques</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antibactériens</term><term>Antinéoplasiques</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Fièvre</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Middle Aged</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Choc septique</term><term>Femelle</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Infections à staphylocoques</term><term>Tomodensitométrie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) is a mild encephalopathy caused by various pathological processes, but encephalopathy due to bacteria is rare.</p></sec><sec><title>Case presentation</title><p>We report the case of a 45-year-old Japanese woman who on receiving chemotherapy for advanced breast cancer developed an altered mental status and dysarthria soon after fever from infection of a subcutaneous implantable port. <italic>Staphylococcus aureus</italic> was detected in her blood cultures. Magnetic resonance imaging (MRI) revealed an ovoid lesion in the central portion of the splenium of the corpus callosum (SCC). Although hypotension was not observed, we diagnosed probable toxic shock syndrome (TSS) based on fever (temperature: >38.9 °C), altered mental status, erythema, desquamation, thrombocytopenia, liver dysfunction, and creatine phosphokinase elevation. We administered antimicrobial therapy and her neurological symptoms improved gradually. The lesion in the SCC completely disappeared on MRI 7 days after disease onset.</p></sec><sec><title>Conclusions</title><p>We diagnosed this case as MERS caused by <italic>S. aureus</italic> bacteremia with TSS. This is the first report of such a case, and we suggest that when a TSS patient presents with neurological symptoms, the possibility of MERS should be considered.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Doherty, Mj" uniqKey="Doherty M">MJ Doherty</name></author><author><name sortKey="Jayadev, S" uniqKey="Jayadev S">S Jayadev</name></author><author><name sortKey="Watson, Nf" uniqKey="Watson N">NF Watson</name></author><author><name sortKey="Konchada, Rs" uniqKey="Konchada R">RS Konchada</name></author><author><name sortKey="Hallam, Dk" uniqKey="Hallam D">DK Hallam</name></author></analytic></biblStruct><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 sortKey="Ichiyama, T" uniqKey="Ichiyama T">T Ichiyama</name></author><author><name sortKey="Taoka, T" uniqKey="Taoka T">T Taoka</name></author><author><name sortKey="Sohma, O" uniqKey="Sohma O">O Sohma</name></author><author><name sortKey="Yoshikawa, H" uniqKey="Yoshikawa H">H Yoshikawa</name></author><author><name sortKey="Kohno, Y" uniqKey="Kohno Y">Y Kohno</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tani, M" uniqKey="Tani M">M Tani</name></author><author><name sortKey="Natori, S" uniqKey="Natori S">S Natori</name></author><author><name sortKey="Noda, K" uniqKey="Noda K">K Noda</name></author><author><name sortKey="Fujishima, K" uniqKey="Fujishima K">K Fujishima</name></author><author><name sortKey="Hattori, N" uniqKey="Hattori N">N Hattori</name></author><author><name sortKey="Mizuno, Y" uniqKey="Mizuno Y">Y Mizuno</name></author><author><name sortKey="Okuma, Y" uniqKey="Okuma Y">Y Okuma</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kobata, R" uniqKey="Kobata R">R Kobata</name></author><author><name sortKey="Tsukahara, H" uniqKey="Tsukahara H">H Tsukahara</name></author><author><name sortKey="Nakai, A" uniqKey="Nakai A">A Nakai</name></author><author><name sortKey="Tanizawa, A" uniqKey="Tanizawa A">A Tanizawa</name></author><author><name sortKey="Ishimori, Y" uniqKey="Ishimori Y">Y Ishimori</name></author><author><name sortKey="Kawamura, Y" uniqKey="Kawamura Y">Y Kawamura</name></author><author><name sortKey="Ushijima, H" uniqKey="Ushijima H">H 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Kwon</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Morgan, Jc" uniqKey="Morgan J">JC Morgan</name></author><author><name sortKey="Cavaliere, R" uniqKey="Cavaliere R">R Cavaliere</name></author><author><name sortKey="Juel, Vc" uniqKey="Juel V">VC Juel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shibuya, H" uniqKey="Shibuya H">H Shibuya</name></author><author><name sortKey="Osamura, K" uniqKey="Osamura K">K Osamura</name></author><author><name sortKey="Hara, K" uniqKey="Hara K">K Hara</name></author><author><name sortKey="Hisada, T" uniqKey="Hisada T">T Hisada</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hong, Jm" uniqKey="Hong J">JM Hong</name></author><author><name sortKey="Joo, Is" uniqKey="Joo I">IS Joo</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Tofte, Rw" uniqKey="Tofte R">RW Tofte</name></author><author><name sortKey="Williams, Dn" uniqKey="Williams D">DN Williams</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Friese, Sa" uniqKey="Friese S">SA Friese</name></author><author><name sortKey="Bitzer, M" uniqKey="Bitzer M">M Bitzer</name></author><author><name sortKey="Freudenstein, D" uniqKey="Freudenstein D">D Freudenstein</name></author><author><name sortKey="Voigt, K" uniqKey="Voigt K">K Voigt</name></author><author><name sortKey="Kuker, W" uniqKey="Kuker W">W Küker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schlievert, Pm" uniqKey="Schlievert P">PM Schlievert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Parsonnet, J" uniqKey="Parsonnet J">J Parsonnet</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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