title: Complex partial status epilepticus in a patient with Crohn's disease.
abstract: Few cases of Crohn's disease complicated with meningitis and epidural abscess have been described in literature. We present a case of a 42-year-old former smoker female patient diagnosed with Crohn's disease in September 1995 (with severe nutritional problems). On 20 February 2012, she was admitted due to a probable sepsis (without any previous treatment). After several days she developed a confusion syndrome (probable Wernicke's disease). On 5 March 2012, the patient presented with a febrile episode of 39 ° C. Two days later, the patient presented aphasia and paraparesis, and 3 days later she presented a complex partial status epilepticus. A lumbar puncture was performed and showed 131 leucocytes (63% granulocytes) and proteins 296.3. The abdominopelvic CT scan revealed a presacral collection that seem to extend cranially towards the lumbosacral spine. The lumbar MRI confirmed the lumbar epidural abscess secondary to the fistulisation of the presacral abscess.
authors.affiliation: Neurology Service, Asturias Central University Hospital, Spain.
authors.forename: Montserrat G
authors.initials: MG
authors.lastname: Delgado
authors.forename: Juan
authors.initials: J
authors.lastname: Vega
authors.forename: Elena
authors.initials: E
authors.lastname: Santamarta
authors.forename: Luis
authors.initials: L
authors.lastname: Caminal
mesh_terms: D000038:Abscess / Q000150:complications; D000151:Acinetobacter Infections / Q000150:complications*; D000328:Adult; D003424:Crohn Disease / Q000150:complications*; D016154:Digestive System Fistula / Q000150:complications*; D020802:Epidural Abscess / Q000150:complications*; D005260:Female; D006801:Humans; D008161:Lumbosacral Region; D013226:Status Epilepticus / Q000150:complications*