title: Seizure and altered mental status in a 12-year-old child with Shigella sonnei gastroenteritis.
abstract: We report a case of Shigella-associated altered mental status and seizure in a 12-year-old boy. Although seizure is a known complication of shigellosis, it is quite unusual in patients older than 9 years. This case illustrates the importance of considering the diagnosis of shigellosis in any pediatric patient with altered mental status or seizure in the context of gastrointestinal symptoms such as diarrhea.
authors.affiliation: Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
authors.forename: Ethan M
authors.initials: EM
authors.lastname: Goldberg
authors.forename: Fran
authors.initials: F
authors.lastname: Balamuth
authors.forename: Colette R
authors.initials: CR
authors.lastname: Desrochers
authors.forename: Manoj K
authors.initials: MK
authors.lastname: Mittal
mesh_terms: D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis / Q000188:drug therapy; D002648:Child; D003221:Confusion / Q000209:etiology / Q000503:physiopathology; D004405:Dysentery, Bacillary / Q000150:complications* / Q000175:diagnosis; D004569:Electroencephalography / Q000379:methods; D004636:Emergency Service, Hospital; D005500:Follow-Up Studies; D005759:Gastroenteritis / Q000150:complications* / Q000382:microbiology*; D006801:Humans; D008297:Male; D009460:Neurologic Examination; D018570:Risk Assessment; D012640:Seizures / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D012720:Severity of Illness Index; D012764:Shigella sonnei / Q000302:isolation & purification*; D016896:Treatment Outcome