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Abstract Details

Encephalitis By Bartonella Quintana, A Rare Entity In The Pediatric Age
Infectious Disease
P13 - Poster Session 13 (5:30 PM-6:30 PM)
13-007
To present the case of a teenager with encephalitis by Bartonella quintana.
13-year-old male, with macrocephaly from birth antecedent. He was hospitalized 1 month because of bilateral hygromas. At one year of age, a peritoneal ventricular shunt system was placed. He refers his grandmother`s ranch exposure to lice and bedbugs. He begins suffering with holocraneana stabbing headache, VAS 5 and diplopia. At 24 hrs he presented projectile vomiting on 10 occasions; omeprazole, ketorolac and diclofenac were self-medicated, without improvement. At 48 hrs headache and abdominal pain increased in addition to generalized rash and cervicalgia began. After 8 hrs, he presented severe headache and generalized hypertonic crisis for 3 min, with a post-ictal state; After 2 hrs he presented second event for 30 seconds without total recovery of the alert state. He went to Hospital General’s ER with apathy, self-harm, Glasgow 14, 3 mm isocoric and normolectric pupils. At ER, he presented generalized tonic-clonic seizure for 3 min, impregnation of DFH 300mg was started, 7mg/kg/day was continued. MR reported intracranial hypertension and left temporal mesial sclerosis. CSF cytochemical and cytology was performed with normal parameters. Acyclovir and anti-comicial were indicated. He was admitted to ¨Infectology¨ due to recurrent fever, headache and diplopia. Second CSF examination was performed without alterations. Due to the persistence of fever, Doxycycline is initiated. Completing 6 weeks of treatment, after 3 days it’s reported without headache and afebrile.
Descriptive study, case report.

CSF is performed for various causes of encephalitis in the Experimental Medicine Unit which reported positive PCR for Bartonella quintana.

 
Trench fever is a disease transmitted by lice, caused by Bartonella quintana, which was first observed in the military population during the First and Second World War. Symptoms are an acute febrile illness and rash. Central Nervous System condition is rare.
Authors/Disclosures

PRESENTER 		No disclosure on file
Cynthia Arely Juarez Jaramillo (UNAM) No disclosure on file