Encephalitis with convulsive status in an immunocompetent pediatric patient caused by Bartonella henselae

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• 作者：Rosario Cerpa Polar¹ ; ^{rcerpapolar@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; Gabriela Orellana² ; Wilmer Silva Caso³ ; ⁴ ; José ; Sá ; nchez Carbonel³ ; Javier Santisteban² ; Juana del Valle Mendoza³ ; ⁴ ; ^{jdelvall@upc.edu.pe" class="auth_mail" title="E-mail the corresponding author} ; Javier Santisteban⁵
• 关键词：Bartonella henselae ; Encephalitis ; Immunocompetent ; Pediatric patient ; Convulsive status ; Cat scratch's disease
• 刊名：Asian Pacific Journal of Tropical Medicine
• 出版年：2016
• 出版时间：June 2016
• 年：2016
• 卷：9
• 期：6
• 页码：610-613
• 全文大小：275 K

文摘

Cat scratch's disease caused by Bartonella henselae, is known to be a self-limited benign process in immunocompetent children. The association with neurologic manifestations is very uncommon especially in patient with no immunologic defects and in cases without specific treatment. A 7 years old male patient, without any immunocompromised defect, presented an atypic presentation of the cat scratch disease. The patient came to the hospital in two opportunities in a status epilepticus, in both cases the diagnosis was encephalitis by Bartonella henselae and the evolution with treatment was monitored with PCR (polymerase chain reaction) in cerebrospinal fluid and blood, as well as IFI (IgM, IgG) serology (indirect immunofluorescence). The patient had a favorable clinical and laboratory evolution for 6 months showing no recurrence of the disease.