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MERS associated with bacterial translocation in a pediatric patient with congenital portal vein hypoplasia: A case report
A case of mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) in a female child who developed bacterial translocation from a congenital portal vein hypoplasia is reported. The patient was diagnosed as having portal hypertension after examinations and laboratory results showing...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
D.A. Spandidos
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6125833/ https://www.ncbi.nlm.nih.gov/pubmed/30214504 http://dx.doi.org/10.3892/etm.2018.6532 |
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author | Imataka, George Yamaguchi, Takeshi Ishii, Junpei Ogino, Kei Okamoto, Kentaro Tsuchioka, Takashi Yoshihara, Shigemi |
author_facet | Imataka, George Yamaguchi, Takeshi Ishii, Junpei Ogino, Kei Okamoto, Kentaro Tsuchioka, Takashi Yoshihara, Shigemi |
author_sort | Imataka, George |
collection | PubMed |
description | A case of mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) in a female child who developed bacterial translocation from a congenital portal vein hypoplasia is reported. The patient was diagnosed as having portal hypertension after examinations and laboratory results showing splenomegaly and thrombocytopenia at the age of 1 year. The patient required three endoscopic variceal ligation (EVL) surgeries before the age of 9 due to development of multiple esophageal varices. After the second and third EVL procedures, she developed septicemia, possibly due to bacterial translocation associated with the administration of general anesthesia. The day after the third EVL, the patient presented with high fever and neurological disturbances (altered consciousness). Magnetic resonance imaging detected abnormal intensities in the corpus callosum ampulla and cerebral white matter, which suggested a diagnosis of MERS type 2. Considering this clinical course, the possible association between bacterial translocation and MERS in a patient with congenital portal vein hypoplasia and portal hypertension is discussed. |
format | Online Article Text |
id | pubmed-6125833 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | D.A. Spandidos |
record_format | MEDLINE/PubMed |
spelling | pubmed-61258332018-09-13 MERS associated with bacterial translocation in a pediatric patient with congenital portal vein hypoplasia: A case report Imataka, George Yamaguchi, Takeshi Ishii, Junpei Ogino, Kei Okamoto, Kentaro Tsuchioka, Takashi Yoshihara, Shigemi Exp Ther Med Articles A case of mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) in a female child who developed bacterial translocation from a congenital portal vein hypoplasia is reported. The patient was diagnosed as having portal hypertension after examinations and laboratory results showing splenomegaly and thrombocytopenia at the age of 1 year. The patient required three endoscopic variceal ligation (EVL) surgeries before the age of 9 due to development of multiple esophageal varices. After the second and third EVL procedures, she developed septicemia, possibly due to bacterial translocation associated with the administration of general anesthesia. The day after the third EVL, the patient presented with high fever and neurological disturbances (altered consciousness). Magnetic resonance imaging detected abnormal intensities in the corpus callosum ampulla and cerebral white matter, which suggested a diagnosis of MERS type 2. Considering this clinical course, the possible association between bacterial translocation and MERS in a patient with congenital portal vein hypoplasia and portal hypertension is discussed. D.A. Spandidos 2018-10 2018-07-27 /pmc/articles/PMC6125833/ /pubmed/30214504 http://dx.doi.org/10.3892/etm.2018.6532 Text en Copyright: © Imataka et al. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. |
spellingShingle | Articles Imataka, George Yamaguchi, Takeshi Ishii, Junpei Ogino, Kei Okamoto, Kentaro Tsuchioka, Takashi Yoshihara, Shigemi MERS associated with bacterial translocation in a pediatric patient with congenital portal vein hypoplasia: A case report |
title | MERS associated with bacterial translocation in a pediatric patient with congenital portal vein hypoplasia: A case report |
title_full | MERS associated with bacterial translocation in a pediatric patient with congenital portal vein hypoplasia: A case report |
title_fullStr | MERS associated with bacterial translocation in a pediatric patient with congenital portal vein hypoplasia: A case report |
title_full_unstemmed | MERS associated with bacterial translocation in a pediatric patient with congenital portal vein hypoplasia: A case report |
title_short | MERS associated with bacterial translocation in a pediatric patient with congenital portal vein hypoplasia: A case report |
title_sort | mers associated with bacterial translocation in a pediatric patient with congenital portal vein hypoplasia: a case report |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6125833/ https://www.ncbi.nlm.nih.gov/pubmed/30214504 http://dx.doi.org/10.3892/etm.2018.6532 |
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