Late-onset sepsis and encephalopathy after bicycle-spoke injury

A case report

Ryuichi Takemoto, Yoshitomo Motomura, Noriyuki Kaku, Yuko Shono, Mamoru Muraoka, Shunsuke Kanno, Tamami Tanaka, Yasunari Sakai, Yoshihiko Maehara, Shoichi Ohga

研究成果: ジャーナルへの寄稿記事

抄録

Background: Bicycle-spoke injuries rarely cause late complications of infection, including sepsis and sepsis-associated encephalopathy, with appropriate treatments. Case presentation: We experienced a 2-year-old girl who developed the signs of encephalopathy with fever 6 months after a spoke-injury. On admission, the injured skin was inflamed with cellulitis. The blood culture was positive for methicillin-sensitive Staphylococcus aureus. Electroencephalogram showed diffuse slow-wave activity. Diffusion-weighted magnetic resonance imaging detected a high-intensity lesion with decreased diffusivity at the right frontal cortex. She received immunoglobulin and combined antibiotics treatments in the intensive care unit, and successfully overcame the sepsis-associated encephalopathy without neurological impairments. Conclusion: This is the first report demonstrating that sepsis and its associated encephalopathy occurs in a remote period after the bicycle-spoke injury.

元の言語英語
記事番号472
ジャーナルBMC Infectious Diseases
19
発行部数1
DOI
出版物ステータス出版済み - 5 28 2019

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Brain Diseases
Sepsis
Wounds and Injuries
Diffusion Magnetic Resonance Imaging
Methicillin
Cellulitis
Frontal Lobe
Intensive Care Units
Staphylococcus aureus
Immunoglobulins
Electroencephalography
Fever
Anti-Bacterial Agents
Skin
Therapeutics
Infection
Sepsis-Associated Encephalopathy

All Science Journal Classification (ASJC) codes

  • Infectious Diseases

これを引用

Late-onset sepsis and encephalopathy after bicycle-spoke injury : A case report. / Takemoto, Ryuichi; Motomura, Yoshitomo; Kaku, Noriyuki; Shono, Yuko; Muraoka, Mamoru; Kanno, Shunsuke; Tanaka, Tamami; Sakai, Yasunari; Maehara, Yoshihiko; Ohga, Shoichi.

:: BMC Infectious Diseases, 巻 19, 番号 1, 472, 28.05.2019.

研究成果: ジャーナルへの寄稿記事

Takemoto, Ryuichi ; Motomura, Yoshitomo ; Kaku, Noriyuki ; Shono, Yuko ; Muraoka, Mamoru ; Kanno, Shunsuke ; Tanaka, Tamami ; Sakai, Yasunari ; Maehara, Yoshihiko ; Ohga, Shoichi. / Late-onset sepsis and encephalopathy after bicycle-spoke injury : A case report. :: BMC Infectious Diseases. 2019 ; 巻 19, 番号 1.
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T1 - Late-onset sepsis and encephalopathy after bicycle-spoke injury

T2 - A case report

AU - Takemoto, Ryuichi

AU - Motomura, Yoshitomo

AU - Kaku, Noriyuki

AU - Shono, Yuko

AU - Muraoka, Mamoru

AU - Kanno, Shunsuke

AU - Tanaka, Tamami

AU - Sakai, Yasunari

AU - Maehara, Yoshihiko

AU - Ohga, Shoichi

PY - 2019/5/28

Y1 - 2019/5/28

N2 - Background: Bicycle-spoke injuries rarely cause late complications of infection, including sepsis and sepsis-associated encephalopathy, with appropriate treatments. Case presentation: We experienced a 2-year-old girl who developed the signs of encephalopathy with fever 6 months after a spoke-injury. On admission, the injured skin was inflamed with cellulitis. The blood culture was positive for methicillin-sensitive Staphylococcus aureus. Electroencephalogram showed diffuse slow-wave activity. Diffusion-weighted magnetic resonance imaging detected a high-intensity lesion with decreased diffusivity at the right frontal cortex. She received immunoglobulin and combined antibiotics treatments in the intensive care unit, and successfully overcame the sepsis-associated encephalopathy without neurological impairments. Conclusion: This is the first report demonstrating that sepsis and its associated encephalopathy occurs in a remote period after the bicycle-spoke injury.

AB - Background: Bicycle-spoke injuries rarely cause late complications of infection, including sepsis and sepsis-associated encephalopathy, with appropriate treatments. Case presentation: We experienced a 2-year-old girl who developed the signs of encephalopathy with fever 6 months after a spoke-injury. On admission, the injured skin was inflamed with cellulitis. The blood culture was positive for methicillin-sensitive Staphylococcus aureus. Electroencephalogram showed diffuse slow-wave activity. Diffusion-weighted magnetic resonance imaging detected a high-intensity lesion with decreased diffusivity at the right frontal cortex. She received immunoglobulin and combined antibiotics treatments in the intensive care unit, and successfully overcame the sepsis-associated encephalopathy without neurological impairments. Conclusion: This is the first report demonstrating that sepsis and its associated encephalopathy occurs in a remote period after the bicycle-spoke injury.

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