TAILIEUCHUNG - Báo cáo y học: "ost-adenoviral parasympathetic dysautonomia in a child: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: ost-adenoviral parasympathetic dysautonomia in a child: a case report. | McLoughlin and Martinez Journal of Medical Case Reports 2010 4 182 http content 4 1 182 Ws CASE REPORTS CASE REPORT Open Access Post-adenoviral parasympathetic dysautonomia in a child a case report Terence F McLoughlin 1 and Adalaida Martinez2 Abstract Introduction This is the first reported case of adenoviral meningoencephalitis that was complicated by persistent parasympathetic dysautonomia which clinically either stimulated or inhibited its activity. Case presentation A 7-year-old Caucasian girl presented to our hospital in March 2008 with a three day history of upper respiratory infection. Her condition worsened and she was placed on ventilator support for two weeks. Her recovery was complicated by a persistent selective parasympathetic dysautonomia. Her past medical history was unremarkable. Conclusions To the best of our knowledge this is the first case of an adenoviral infection in a child which was complicated after recovery from an acute meningoencephalitis and peripheral neuropathy. Introduction Neurological complications are uncommon sequelae of adenovirus infection. To the best of our knowledge this is the first reported case of a child whose recovery from adenoviral meningoencephalitis was complicated by persistent dysautonomia confined to the parasympathetic nervous system and which appeared clinically to either stimulate or inhibit its activity. Case presentation Our patient a 7-year-old Caucasian girl was admitted to the children s hospital with a three day history of upper respiratory tract infection. Her breathing had become labored and when seen in the Acute Admission Unit her pO2 saturation fluctuated between 90 and 92 which was refractory to supplementary oxygen. She was placed on ventilator support. An attempt was made to wean her off the ventilator after 48 hours. She then exhibited clinical features of cerebral irritation including photophobia and a positive Kernig s sign. Gadolinium-enhanced .

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