Cat scratch disease presenting as acute encephalopathy.
An unusual case of primary meningo-encephalitis followed by partial complex seizure in a 9-year-old boy was found to be a symptom of cerebral Bartonella henselae infection or cat scratch disease. Despite one clinical relapse at 4 weeks post-presentation, he remained seizure free on carbamazepine for one year. Six months after stopping carbamazepine, however, he developed deja vu phenomena and absence seizures with EEG abnormality. Restarting carbamazepine improved his symptoms.
Cherinet
Y
Y
Department of Paediatrics, Bristol Royal Hospital for Children, Paul O'Gorman Building, Upper Maudlin Street, Bristol BS28BJ, UK. yonasc@hotmail.com
Tomlinson
R
R
D000208:Acute Disease; D000818:Animals; D000927:Anticonvulsants / Q000627:therapeutic use*; D018416:Bartonella henselae / Q000302:isolation & purification*; D002220:Carbamazepine / Q000627:therapeutic use*; D002372:Cat-Scratch Disease / Q000175:diagnosis* / Q000188:drug therapy; D002415:Cats; D002648:Child; D003937:Diagnosis, Differential; D004660:Encephalitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D008297:Male; D012008:Recurrence
D000927:Anticonvulsants; D002220:Carbamazepine