Loading…

An unusual imaging presentation of pediatric bacterial meningoencephalitis: a case-report study

BackgroundBacterial meningoencephalitis is a serious infection affecting the brain and its surrounding membranes. While imaging studies play a crucial role in diagnosing this condition, the typical radiological findings are well-documented. However, this case report describes an unusual imaging pres...

Full description

Saved in:
Bibliographic Details
Published in:Annals of medicine and surgery (2012) 2024, Vol.86 (3), p.1739-1744
Main Authors: Kachuei, Maryam, Zare, Ramin, Sayyahfar, Shirin, Khalili, Mitra, Movahedi, Hamidreza, Naghshbandi, Mobin, Eghdami, Shayan
Format: Report
Language:English
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page 1744
container_issue 3
container_start_page 1739
container_title Annals of medicine and surgery (2012)
container_volume 86
creator Kachuei, Maryam
Zare, Ramin
Sayyahfar, Shirin
Khalili, Mitra
Movahedi, Hamidreza
Naghshbandi, Mobin
Eghdami, Shayan
description BackgroundBacterial meningoencephalitis is a serious infection affecting the brain and its surrounding membranes. While imaging studies play a crucial role in diagnosing this condition, the typical radiological findings are well-documented. However, this case report describes an unusual imaging presentation that deviates from the expected patterns, emphasizing the need for awareness of such variations.Case presentationA 7-year-old female with no prior medical history was referred to our hospital with fever, seizure, and loss of Consciousness. She had mild flu a week before admission. The duration of seizure episodes were 2-3 min, with tonic-clonic uncontrollable jerky movements. Brudzinski and Kernig signs were positive and plantar reflex was upward bilaterally in the physical examination. The computed tomography (CT) scan showed brain ventriculomegaly/hydrocephalus, and MRI findings indicated multiple foci located at cerebellum, basal ganglia, and thalamus alongside intensely restricted diffusion of the layering debris, suggesting pyogenic ventriculitis. Cerebrospinal fluid (CSF) analysis showed severe hypoglycorrhachia, despite non-significant increase of protein. The patient was undergone antibiotic therapy with ceftriaxone, vancomycin and rifampin, resulting in normalization of CSF values.ConclusionThis case report highlights the importance of recognizing and interpreting unusual imaging presentations of bacterial meningoencephalitis in paediatric patients. It emphasizes the need for a comprehensive diagnostic approach, including clinical evaluation, laboratory tests, and imaging studies, to ensure accurate diagnosis and appropriate management of this potentially life-threatening condition. Further research and awareness of atypical imaging findings are warranted to enhance our understanding and improve patient outcomes.
doi_str_mv 10.1097/MS9.0000000000001749
format report
fullrecord <record><control><sourceid>proquest</sourceid><recordid>TN_cdi_proquest_miscellaneous_2955269115</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2955269115</sourcerecordid><originalsourceid>FETCH-proquest_miscellaneous_29552691153</originalsourceid><addsrcrecordid>eNqVyrFOAzEQRVErAikR5A8opkyzwd5kNzEdQiCaVNCvBmcSBnltx2MX_D1BokjLa-4rjlJ3Ri-Ntpv73Ztd6ouZzdpO1KzVa9vorTZXF3-q5iJfv0h3q77fztTwGKCGKhU98IhHDkdImYRCwcIxQDxAoj1jyezgA12hzGc7UjjTSMFR-kTPheUBEBwKNZlSzAWk1P33rbo-oBea__VGLV6e359em5TjqZKUYWRx5D0GilWG1nZd21tjutU_6A-Ep1Ev</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>report</recordtype><pqid>2955269115</pqid></control><display><type>report</type><title>An unusual imaging presentation of pediatric bacterial meningoencephalitis: a case-report study</title><source>PubMed (Medline)</source><creator>Kachuei, Maryam ; Zare, Ramin ; Sayyahfar, Shirin ; Khalili, Mitra ; Movahedi, Hamidreza ; Naghshbandi, Mobin ; Eghdami, Shayan</creator><creatorcontrib>Kachuei, Maryam ; Zare, Ramin ; Sayyahfar, Shirin ; Khalili, Mitra ; Movahedi, Hamidreza ; Naghshbandi, Mobin ; Eghdami, Shayan</creatorcontrib><description>BackgroundBacterial meningoencephalitis is a serious infection affecting the brain and its surrounding membranes. While imaging studies play a crucial role in diagnosing this condition, the typical radiological findings are well-documented. However, this case report describes an unusual imaging presentation that deviates from the expected patterns, emphasizing the need for awareness of such variations.Case presentationA 7-year-old female with no prior medical history was referred to our hospital with fever, seizure, and loss of Consciousness. She had mild flu a week before admission. The duration of seizure episodes were 2-3 min, with tonic-clonic uncontrollable jerky movements. Brudzinski and Kernig signs were positive and plantar reflex was upward bilaterally in the physical examination. The computed tomography (CT) scan showed brain ventriculomegaly/hydrocephalus, and MRI findings indicated multiple foci located at cerebellum, basal ganglia, and thalamus alongside intensely restricted diffusion of the layering debris, suggesting pyogenic ventriculitis. Cerebrospinal fluid (CSF) analysis showed severe hypoglycorrhachia, despite non-significant increase of protein. The patient was undergone antibiotic therapy with ceftriaxone, vancomycin and rifampin, resulting in normalization of CSF values.ConclusionThis case report highlights the importance of recognizing and interpreting unusual imaging presentations of bacterial meningoencephalitis in paediatric patients. It emphasizes the need for a comprehensive diagnostic approach, including clinical evaluation, laboratory tests, and imaging studies, to ensure accurate diagnosis and appropriate management of this potentially life-threatening condition. Further research and awareness of atypical imaging findings are warranted to enhance our understanding and improve patient outcomes.</description><identifier>ISSN: 2049-0801</identifier><identifier>EISSN: 2049-0801</identifier><identifier>DOI: 10.1097/MS9.0000000000001749</identifier><language>eng</language><ispartof>Annals of medicine and surgery (2012), 2024, Vol.86 (3), p.1739-1744</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>780,784,4490,27925</link.rule.ids></links><search><creatorcontrib>Kachuei, Maryam</creatorcontrib><creatorcontrib>Zare, Ramin</creatorcontrib><creatorcontrib>Sayyahfar, Shirin</creatorcontrib><creatorcontrib>Khalili, Mitra</creatorcontrib><creatorcontrib>Movahedi, Hamidreza</creatorcontrib><creatorcontrib>Naghshbandi, Mobin</creatorcontrib><creatorcontrib>Eghdami, Shayan</creatorcontrib><title>An unusual imaging presentation of pediatric bacterial meningoencephalitis: a case-report study</title><title>Annals of medicine and surgery (2012)</title><description>BackgroundBacterial meningoencephalitis is a serious infection affecting the brain and its surrounding membranes. While imaging studies play a crucial role in diagnosing this condition, the typical radiological findings are well-documented. However, this case report describes an unusual imaging presentation that deviates from the expected patterns, emphasizing the need for awareness of such variations.Case presentationA 7-year-old female with no prior medical history was referred to our hospital with fever, seizure, and loss of Consciousness. She had mild flu a week before admission. The duration of seizure episodes were 2-3 min, with tonic-clonic uncontrollable jerky movements. Brudzinski and Kernig signs were positive and plantar reflex was upward bilaterally in the physical examination. The computed tomography (CT) scan showed brain ventriculomegaly/hydrocephalus, and MRI findings indicated multiple foci located at cerebellum, basal ganglia, and thalamus alongside intensely restricted diffusion of the layering debris, suggesting pyogenic ventriculitis. Cerebrospinal fluid (CSF) analysis showed severe hypoglycorrhachia, despite non-significant increase of protein. The patient was undergone antibiotic therapy with ceftriaxone, vancomycin and rifampin, resulting in normalization of CSF values.ConclusionThis case report highlights the importance of recognizing and interpreting unusual imaging presentations of bacterial meningoencephalitis in paediatric patients. It emphasizes the need for a comprehensive diagnostic approach, including clinical evaluation, laboratory tests, and imaging studies, to ensure accurate diagnosis and appropriate management of this potentially life-threatening condition. Further research and awareness of atypical imaging findings are warranted to enhance our understanding and improve patient outcomes.</description><issn>2049-0801</issn><issn>2049-0801</issn><fulltext>true</fulltext><rsrctype>report</rsrctype><creationdate>2024</creationdate><recordtype>report</recordtype><recordid>eNqVyrFOAzEQRVErAikR5A8opkyzwd5kNzEdQiCaVNCvBmcSBnltx2MX_D1BokjLa-4rjlJ3Ri-Ntpv73Ztd6ouZzdpO1KzVa9vorTZXF3-q5iJfv0h3q77fztTwGKCGKhU98IhHDkdImYRCwcIxQDxAoj1jyezgA12hzGc7UjjTSMFR-kTPheUBEBwKNZlSzAWk1P33rbo-oBea__VGLV6e359em5TjqZKUYWRx5D0GilWG1nZd21tjutU_6A-Ep1Ev</recordid><startdate>20240301</startdate><enddate>20240301</enddate><creator>Kachuei, Maryam</creator><creator>Zare, Ramin</creator><creator>Sayyahfar, Shirin</creator><creator>Khalili, Mitra</creator><creator>Movahedi, Hamidreza</creator><creator>Naghshbandi, Mobin</creator><creator>Eghdami, Shayan</creator><scope>7X8</scope></search><sort><creationdate>20240301</creationdate><title>An unusual imaging presentation of pediatric bacterial meningoencephalitis: a case-report study</title><author>Kachuei, Maryam ; Zare, Ramin ; Sayyahfar, Shirin ; Khalili, Mitra ; Movahedi, Hamidreza ; Naghshbandi, Mobin ; Eghdami, Shayan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-proquest_miscellaneous_29552691153</frbrgroupid><rsrctype>reports</rsrctype><prefilter>reports</prefilter><language>eng</language><creationdate>2024</creationdate><toplevel>online_resources</toplevel><creatorcontrib>Kachuei, Maryam</creatorcontrib><creatorcontrib>Zare, Ramin</creatorcontrib><creatorcontrib>Sayyahfar, Shirin</creatorcontrib><creatorcontrib>Khalili, Mitra</creatorcontrib><creatorcontrib>Movahedi, Hamidreza</creatorcontrib><creatorcontrib>Naghshbandi, Mobin</creatorcontrib><creatorcontrib>Eghdami, Shayan</creatorcontrib><collection>MEDLINE - Academic</collection></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kachuei, Maryam</au><au>Zare, Ramin</au><au>Sayyahfar, Shirin</au><au>Khalili, Mitra</au><au>Movahedi, Hamidreza</au><au>Naghshbandi, Mobin</au><au>Eghdami, Shayan</au><format>book</format><genre>unknown</genre><ristype>RPRT</ristype><atitle>An unusual imaging presentation of pediatric bacterial meningoencephalitis: a case-report study</atitle><jtitle>Annals of medicine and surgery (2012)</jtitle><date>2024-03-01</date><risdate>2024</risdate><volume>86</volume><issue>3</issue><spage>1739</spage><epage>1744</epage><pages>1739-1744</pages><issn>2049-0801</issn><eissn>2049-0801</eissn><abstract>BackgroundBacterial meningoencephalitis is a serious infection affecting the brain and its surrounding membranes. While imaging studies play a crucial role in diagnosing this condition, the typical radiological findings are well-documented. However, this case report describes an unusual imaging presentation that deviates from the expected patterns, emphasizing the need for awareness of such variations.Case presentationA 7-year-old female with no prior medical history was referred to our hospital with fever, seizure, and loss of Consciousness. She had mild flu a week before admission. The duration of seizure episodes were 2-3 min, with tonic-clonic uncontrollable jerky movements. Brudzinski and Kernig signs were positive and plantar reflex was upward bilaterally in the physical examination. The computed tomography (CT) scan showed brain ventriculomegaly/hydrocephalus, and MRI findings indicated multiple foci located at cerebellum, basal ganglia, and thalamus alongside intensely restricted diffusion of the layering debris, suggesting pyogenic ventriculitis. Cerebrospinal fluid (CSF) analysis showed severe hypoglycorrhachia, despite non-significant increase of protein. The patient was undergone antibiotic therapy with ceftriaxone, vancomycin and rifampin, resulting in normalization of CSF values.ConclusionThis case report highlights the importance of recognizing and interpreting unusual imaging presentations of bacterial meningoencephalitis in paediatric patients. It emphasizes the need for a comprehensive diagnostic approach, including clinical evaluation, laboratory tests, and imaging studies, to ensure accurate diagnosis and appropriate management of this potentially life-threatening condition. Further research and awareness of atypical imaging findings are warranted to enhance our understanding and improve patient outcomes.</abstract><doi>10.1097/MS9.0000000000001749</doi></addata></record>
fulltext fulltext
identifier ISSN: 2049-0801
ispartof Annals of medicine and surgery (2012), 2024, Vol.86 (3), p.1739-1744
issn 2049-0801
2049-0801
language eng
recordid cdi_proquest_miscellaneous_2955269115
source PubMed (Medline)
title An unusual imaging presentation of pediatric bacterial meningoencephalitis: a case-report study
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T02%3A14%3A31IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest&rft_val_fmt=info:ofi/fmt:kev:mtx:book&rft.genre=unknown&rft.atitle=An%20unusual%20imaging%20presentation%20of%20pediatric%20bacterial%20meningoencephalitis:%20a%20case-report%20study&rft.jtitle=Annals%20of%20medicine%20and%20surgery%20(2012)&rft.au=Kachuei,%20Maryam&rft.date=2024-03-01&rft.volume=86&rft.issue=3&rft.spage=1739&rft.epage=1744&rft.pages=1739-1744&rft.issn=2049-0801&rft.eissn=2049-0801&rft_id=info:doi/10.1097/MS9.0000000000001749&rft_dat=%3Cproquest%3E2955269115%3C/proquest%3E%3Cgrp_id%3Ecdi_FETCH-proquest_miscellaneous_29552691153%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2955269115&rft_id=info:pmid/&rfr_iscdi=true