Serveur d'exploration MERS

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[A case of clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) associated with infectious endocarditis caused by Staphylococcus aureus].

Identifieur interne : 000331 ( PubMed/Checkpoint ); précédent : 000330; suivant : 000332

[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 Nakatsuji

Source :

RBID : pubmed:31564706

Descripteurs français

English descriptors

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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pubmed:31564706

Le document en format XML

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<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>
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<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>
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