Shewanella putrefaciens bacteraemia associated with terminal ileitis.

Shewanella putrefaciens has a wide geographical distribution, including sea- and fresh water, fish and soil, but it is an unusual pathogen in humans. A previously healthy boy without known immunodeficiency presented with fever, abdominal pain and diarrhoea, and a mass in the right lower quadrant. Terminal ileitis was confirmed by MRI and Shewanella putrefaciens was isolated from two separate blood cultures.

HSV-2 meningitis disseminated from a herpetic whitlow.

HSV-2 meningitis is uncommon in childhood and is mainly associated with genital lesions or a history of sexual abuse. A 7-year-old boy with recurrent herpetic whitlow developed HSV-2 meningitis. HSV-2 was identified in the CSF by PCR.

Severe jaundice in two children with Kawasaki disease: a possible association with Gilbert syndrome.

Kawasaki disease is a systemic vasculitis, mainly encountered in children. It may affect any organ. Acute cholestasis and severe obstructive jaundice is an atypical manifestation of the disease.

Miller-Fisher syndrome in association with enterovirus infection.

Miller-Fisher is a rare syndrome of childhood that presents with external ophthalmoplegia, ataxia, and areflexia. It has been mainly associated with a preceding Campylobacter infection and less commonly with other bacterial or viral infections. This report describes, for the first time, a child with Miller-Fisher syndrome and documented Enterovirus infection, as it was proven by the isolation of Enterovirus from cerebrospinal fluid by polymerase chain reaction testing.

Bilateral hilar lymphadenopathy due to Chlamydia pneumoniae infection.

We here report a 5-year-old boy who presented with cough and bilateral hilar lymphadenopathy with a family history of sarcoidosis. The laboratory investigations did not confirm this diagnosis. The child was serologically proven to have Chlamydia pneumoniae infection.