A 3-year old child with fever and disturbance of consciousness
Journal Title: Hellenic Journal of Radiology - Year 2017, Vol 2, Issue 3
Abstract
A 3-year old girl presented to the emergency department withhighfever, irritability and moderate disturbance of consciousness. Laboratory tests did not show abnormal serum chemistry or inflammatory markers. Analysis of cerebrospinal fluid (CSF) showed a normal cell count and slightly elevated protein. Acute encephalopathy was suspected and a brain-MRI was performed (Fig. 1, 2). Polymerase chain reaction (PCR) test for herpes was negative, while PCR analysis of nasopharyngeal secretions confirmed the presence of influenza-A, H1N1. The child was treated with oseltamivir for 10 days. Her conscious level gradually improved. A follow-up MRI was performed after six months (Fig.3, 4).
Authors and Affiliations
Anastasia Zikou, Iliada Nakou, Astero Malama
Keywords
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