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 : 001160 ( PubMed/Corpus ); précédent : 001159; suivant : 001161Clinically 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 ; Tsuneaki Kenzaka ; Yuka Sagara ; Kensuke Minami ; Masami MatsumuraSource :
- BMC infectious diseases [ 1471-2334 ] ; 2016.
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.
DOI: 10.1186/s12879-016-1516-0
PubMed: 27091490
Links to Exploration step
pubmed:27091490Le document en format XML
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Sagara</name><affiliation><nlm:affiliation>Department of Breast Surgery, Jichi Medical University, Shimotsuke, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Minami, Kensuke" sort="Minami, Kensuke" uniqKey="Minami K" first="Kensuke" last="Minami">Kensuke Minami</name><affiliation><nlm:affiliation>Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Matsumura, Masami" sort="Matsumura, Masami" uniqKey="Matsumura M" first="Masami" last="Matsumura">Masami Matsumura</name><affiliation><nlm:affiliation>Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke, Japan.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27091490</idno><idno type="pmid">27091490</idno><idno type="doi">10.1186/s12879-016-1516-0</idno><idno 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smile.kenzaka@jichi.ac.jp.</nlm:affiliation></affiliation></author><author><name sortKey="Sagara, Yuka" sort="Sagara, Yuka" uniqKey="Sagara Y" first="Yuka" last="Sagara">Yuka Sagara</name><affiliation><nlm:affiliation>Department of Breast Surgery, Jichi Medical University, Shimotsuke, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Minami, Kensuke" sort="Minami, Kensuke" uniqKey="Minami K" first="Kensuke" last="Minami">Kensuke Minami</name><affiliation><nlm:affiliation>Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Matsumura, Masami" sort="Matsumura, Masami" uniqKey="Matsumura M" first="Masami" last="Matsumura">Masami Matsumura</name><affiliation><nlm:affiliation>Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke, Japan.</nlm:affiliation></affiliation></author></analytic><series><title level="j">BMC infectious diseases</title><idno type="eISSN">1471-2334</idno><imprint><date when="2016" type="published">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="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 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="isolation & purification" xml:lang="en"><term>Staphylococcus aureus</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></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27091490</PMID><DateCompleted><Year>2016</Year><Month>12</Month><Day>13</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2334</ISSN><JournalIssue CitedMedium="Internet"><Volume>16</Volume><PubDate><Year>2016</Year><Month>Apr</Month><Day>18</Day></PubDate></JournalIssue><Title>BMC infectious diseases</Title><ISOAbbreviation>BMC Infect. Dis.</ISOAbbreviation></Journal><ArticleTitle>Clinically mild encephalitis/encephalopathy with a reversible splenial lesion caused by methicillin-sensitive Staphylococcus aureus bacteremia with toxic shock syndrome: a case report.</ArticleTitle><Pagination><MedlinePgn>160</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12879-016-1516-0</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">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.</AbstractText><AbstractText Label="CASE PRESENTATION" NlmCategory="METHODS">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. Staphylococcus aureus 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.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">We diagnosed this case as MERS caused by S. aureus 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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kosami</LastName><ForeName>Koki</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kenzaka</LastName><ForeName>Tsuneaki</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke, Japan. smile.kenzaka@jichi.ac.jp.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>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. smile.kenzaka@jichi.ac.jp.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sagara</LastName><ForeName>Yuka</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Breast Surgery, Jichi Medical University, Shimotsuke, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Minami</LastName><ForeName>Kensuke</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke, Japan.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of General Medicine, Toyooka Public Hospital, Toyooka, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Matsumura</LastName><ForeName>Masami</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Division of General Internal Medicine, Jichi Medical University Hospital, Shimotsuke, Japan.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>04</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Infect Dis</MedlineTA><NlmUniqueID>100968551</NlmUniqueID><ISSNLinking>1471-2334</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000900">Anti-Bacterial Agents</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000970">Antineoplastic Agents</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000900" MajorTopicYN="N">Anti-Bacterial Agents</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000970" MajorTopicYN="N">Antineoplastic Agents</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001927" MajorTopicYN="N">Brain Diseases</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003337" MajorTopicYN="N">Corpus Callosum</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004660" MajorTopicYN="N">Encephalitis</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName 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