Abe Shinpei, Okumura Akihisa, Fujii Tohru, Someya Tomonosuke, Tadokoro Rieko, Arai Yasuhiro, Nakazawa Tomoyuki, Yamashiro Yuichiro
Department of Pediatrics, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
Brain Dev. 2008 Sep;30(8):544-7. doi: 10.1016/j.braindev.2007.12.015. Epub 2008 Apr 18.
We describe a girl with sepsis-associated encephalopathy complicating biliary atresia. At 4 months of age, decreased consciousness and repetitive seizures of the left upper and lower extremities occurred in association with fever. Pseudomonas aeruginosa was cultured from blood, while bacterial culture was negative and cell counts were normal in cerebrospinal fluid. The interleukin-6 level in the cerebrospinal fluid was markedly elevated. MRI revealed unilateral subcortical white matter lesions in the right hemisphere. She was diagnosed as having sepsis-associated encephalopathy and was treated with dexamethasone and midazolam. She achieved normal psychomotor development until the last follow-up at 19 months of age, whereas mild atrophic changes were observed in the right hemisphere.
