title: Encephalopathy complicated by Guillain-Barre syndrome and hydrocephalus and associated with acute Bartonella quintana infection.
abstract: We describe a 16-month-old girl who suffered from encephalopathy leading to intensive care unit hospitalization, complicated by Guillain-Barre syndrome and hydrocephalus, and who had serologic and molecular evidence of central nervous system infection by B. quintana. The possible association of B. quintana with Guillain-Barre syndrome and hydrocephalus has not been previously described and demonstrates the growing spectrum of neurologic complications of Bartonella spp. infections.
authors.affiliation: Department of Pediatrics, Pediatric Intensive Care Unit, University Hospital of Heraklion, Heraklion, Crete, Greece.
authors.forename: Elpis
authors.initials: E
authors.lastname: Mantadakis
authors.forename: Anna-Maria
authors.initials: AM
authors.lastname: Spanaki
authors.forename: Anna
authors.initials: A
authors.lastname: Psaroulaki
authors.forename: Dianna
authors.initials: D
authors.lastname: Fitrolaki
authors.forename: George
authors.initials: G
authors.lastname: Minadakis
authors.forename: Evi
authors.initials: E
authors.lastname: Michaeloudi
authors.forename: Yannis
authors.initials: Y
authors.lastname: Tselentis
authors.forename: George
authors.initials: G
authors.lastname: Briassoulis
mesh_terms: D018413:Bartonella quintana / Q000302:isolation & purification*; D001927:Brain Diseases / Q000382:microbiology*; D005260:Female; D006115:Greece; D020275:Guillain-Barre Syndrome / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D006849:Hydrocephalus / Q000150:complications*; D016867:Immunocompromised Host; D007223:Infant; D016133:Polymerase Chain Reaction; D011859:Radiography; D012698:Serologic Tests; D016896:Treatment Outcome; D014205:Trench Fever / Q000382:microbiology