一名患有宋内志贺菌性肠胃炎的12岁儿童出现癫痫发作和精神状态改变。

Seizure and altered mental status in a 12-year-old child with Shigella sonnei gastroenteritis.

作者信息

Goldberg Ethan M, Balamuth Fran, Desrochers Colette R, Mittal Manoj K

机构信息

Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

出版信息

Pediatr Emerg Care. 2011 Feb;27(2):135-7. doi: 10.1097/PEC.0b013e318209f0a0.

DOI:10.1097/PEC.0b013e318209f0a0

PMID:21293224

Abstract

We report a case of Shigella-associated altered mental status and seizure in a 12-year-old boy. Although seizure is a known complication of shigellosis, it is quite unusual in patients older than 9 years. This case illustrates the importance of considering the diagnosis of shigellosis in any pediatric patient with altered mental status or seizure in the context of gastrointestinal symptoms such as diarrhea.

摘要

我们报告了一例12岁男孩因志贺菌感染出现精神状态改变和癫痫发作的病例。虽然癫痫发作是志贺菌病已知的并发症，但在9岁以上患者中相当少见。该病例说明了在任何出现精神状态改变或癫痫发作且伴有腹泻等胃肠道症状的儿科患者中，考虑志贺菌病诊断的重要性。