Encephalopathy complicated by Guillain-Barre syndrome and hydrocephalus and associated with acute Bartonella quintana infection.
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.
Mantadakis
Elpis
E
Department of Pediatrics, Pediatric Intensive Care Unit, University Hospital of Heraklion, Heraklion, Crete, Greece.
Spanaki
Anna-Maria
AM
Psaroulaki
Anna
A
Fitrolaki
Dianna
D
Minadakis
George
G
Michaeloudi
Evi
E
Tselentis
Yannis
Y
Briassoulis
George
G
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