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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 |
| 巻 | 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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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; Ichimiya, Yuko; Muraoka, Mamoru; Kanno, Shunsuke; Tanaka, Tamami; Sakai, Yasunari; Maehara, Yoshihiko; Ohga, Shouichi.
：: 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
}
TY - JOUR
T1 - Late-onset sepsis and encephalopathy after bicycle-spoke injury
T2 - A case report
AU - Takemoto, Ryuichi
AU - Motomura, Yoshitomo
AU - Kaku, Noriyuki
AU - Ichimiya, Yuko
AU - Muraoka, Mamoru
AU - Kanno, Shunsuke
AU - Tanaka, Tamami
AU - Sakai, Yasunari
AU - Maehara, Yoshihiko
AU - Ohga, Shouichi
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.
UR - http://www.scopus.com/inward/record.url?scp=85066404301&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85066404301&partnerID=8YFLogxK
U2 - 10.1186/s12879-019-4082-4
DO - 10.1186/s12879-019-4082-4
M3 - Article
C2 - 31138139
AN - SCOPUS:85066404301
VL - 19
JO - BMC Infectious Diseases
JF - BMC Infectious Diseases
SN - 1471-2334
IS - 1
M1 - 472
ER -