Acute encephalopathy with biphasic seizures and late reduced diffusion associated with staphylococcal toxic shock syndrome caused by burns

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• 作者：Takaoki Yokochi ; Shinpei Sakanishi ; Yuuki Ishidou ; Go Kawano ; Toyojiro Matsuishi ; ^{tmatsu@st-mary-med.or.jp" class="auth_mail" title="E-mail the corresponding author} ; Yukihiro Akita ; Keizo Obu
• 关键词：Bright tree appearance (BTA) ; Acute encephalopathy with biphasic seizures and late reduced diffusion (AESD) ; Toxic shock syndrome (TSS) ; Burn ; Methicillin-resistant Staphylococcus aureus (MRSA)
• 刊名：Brain and Development
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：38
• 期：9
• 页码：875-879
• 全文大小：575 K

文摘

We report a case of acute encephalopathy with biphasic seizures and late reduced diffusion (AESD) associated with toxic shock syndrome caused by burns.

A one-year-old girl was admitted to our hospital for treatment of severe burns. On day 3, she exhibited a fever, generalized rash and multiple organ failure. She was diagnosed with toxic shock syndrome after burns. She had seizures with fever twice on the same day, followed by secondary seizures on day 8 and transient deterioration of the gross motor functions involved in sitting alone and rolling over. On day 9, MRI diffusion-weighted images showed bright tree appearance (BTA).

We conclude that she developed AESD.