AI Article Synopsis

  • Acute encephalopathy is a sudden syndrome that affects consciousness and can result from viral or bacterial infections, with acute focal bacterial nephritis (AFBN) being a possible cause of neurological symptoms.
  • A case study of a 3-year-old boy showed disturbances in consciousness, irritability, and seizures due to AFBN, despite normal findings on a brain MRI, but abnormal results on an EEG.
  • The patient was treated with IV antibiotics for a urinary tract infection and received additional therapies for acute encephalopathy, ultimately leading to a diagnosis of acute encephalopathy associated with AFBN.

Article Abstract

Acute encephalopathy is a syndrome characterized by an acute onset of disturbance of consciousness. Many acute encephalopathies are caused by viral infections; however, they can also be a result of bacterial infections. Acute focal bacterial nephritis (AFBN) can cause neurological symptoms, such as irritation, unconsciousness, and seizures. In some cases, AFBN-associated acute encephalopathy has also been reported. This report describes the first case of acute encephalopathy with AFBN without significant findings on brain MRI. The patient was a 3-year-old male, who had two episodes of febrile seizures at the ages of 1 and 2 years. He developed disturbance of consciousness, irritability, excitability, and neck stiffness on the day after admission. There were no abnormal findings on brain MRI; however, a generalized high-voltage slow wave was noted on electroencephalography (EEG). His urinary sediment count was elevated, and Morganella morganii and Enterococcus faecalis were detected in the urinary culture. A diagnosis of acute encephalopathy with urinary tract infection (UTI) was made. Intravenous (IV) antibiotics were administered to treat the UTI, while methylprednisolone pulse therapy and IV immunoglobulin were administered to treat acute encephalopathy. Additionally, AFBN was detected in both kidneys on contrast-enhanced CT. The patient received a second course of methylprednisolone pulse therapy due to the persistent high voltage slow wave noted on the EEG on day 8. Furthermore, contrast-enhanced CT revealed AFBN in both kidneys. The final diagnosis was acute encephalopathy with AFBN; however, we had initially diagnosed febrile seizures associated with UTI. It should be noted that acute encephalopathy is associated with AFBN.

Download full-text PDF

Source
http://dx.doi.org/10.1272/jnms.JNMS.2022_89-609DOI Listing

Publication Analysis

Top Keywords

acute encephalopathy
32
acute
11
case acute
8
encephalopathy
8
encephalopathy associated
8
acute focal
8
focal bacterial
8
bacterial nephritis
8
disturbance consciousness
8
encephalopathy afbn
8

Similar Publications

Pneumococcal meningitis is the most severe bacterial meningitis rarely complicated by acute myelitis. We report a case of a 54-year-old female who presented with pneumococcal meningoencephalitis. After eight days of hospitalization, the patient presented a sudden onset of bilateral lower leg weakness and bladder and bowel sphincter dysfunction.

View Article and Find Full Text PDF

A Challenging Case of Recurrent Ogilvie Syndrome: Exploring Causes and Treatment Modalities.

Case Rep Gastrointest Med

December 2024

Department of Cardiology, Medical College of Georgia, Augusta University, Augusta, Georgia, USA.

Acute colonic pseudo-obstruction (ACPO), or Ogilvie syndrome, is a rare condition marked by significant colon distention without mechanical obstruction. Symptoms include abdominal pain, bloating, nausea, vomiting, and an inability to pass gas or stool. Although common in males over 60, we report a challenging case of a 44-year-old man from Africa with recurrent abdominal distention and discomfort.

View Article and Find Full Text PDF

Purpose/objective: This study examined (a) differences in demographic and injury-related characteristics following traumatic brain injury (TBI) between Native American and White individuals; (b) differences in community participation between Native American and White individuals with TBI at 1, 2, and 5 years after TBI; and (c) whether demographic or injury-related characteristics account for community participation disparities.

Research Method/design: A sample of 63 Native American individuals demographically matched to 63 White individuals (n = 126) was enrolled while on acute rehabilitation for moderate or severe TBI. Baseline demographic and injury-related characteristics were collected at this time and the Participation Assessment with Recombined Tools (PART-O) measure of community participation at 1, 2, and 5 years after TBI.

View Article and Find Full Text PDF

Objective: The current research was carried out to test the validity and reliability of the Turkish version of the Acute Stroke Management Questionnaire (ASMaQ), developed to determine the acute stroke management awareness of health-care professionals.

Methods: This methodological study was performed in a training and research hospital. Data were collected using the "Participant Interview Form" and the Acute Stroke Management Questionnaire.

View Article and Find Full Text PDF

Seasonal Variations in Triptan Prescription in Japan: A Nationwide Time-Series Analysis.

Brain Behav

December 2024

Department of Medical Affairs, Otsuka Pharmaceutical Co. Ltd, Tokyo, Japan.

Objective: This study aimed to investigate seasonal differences in migraine onset in Japan and associated trends in the prescription of triptan.

Background: The relationship between seasonal changes and the onset of migraine remains largely unknown.

Methods: We combined the large-scale medical claims data in Japan with city-level meteorological data presented by the Japan Weather Association.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!