Acute encephalopathy with biphasic seizures and late reduced diffusion associated with staphylococcal toxic shock syndrome caused by burns.
We report a case of acute encephalopathy with biphasic seizures and late reduced diffusion (AESD) associated with toxic shock syndrome caused by burns. A one-year-old girl was admitted to our hospital for treatment of severe burns. On day 3, she exhibited a fever, generalized rash and multiple organ failure. She was diagnosed with toxic shock syndrome after burns. She had seizures with fever twice on the same day, followed by secondary seizures on day 8 and transient deterioration of the gross motor functions involved in sitting alone and rolling over. On day 9, MRI diffusion-weighted images showed bright tree appearance (BTA). We conclude that she developed AESD.
Department of Pediatrics, St Mary's Hospital, Fukuoka, Japan.
Takaoki
T
Yokochi
Department of Pediatrics, St Mary's Hospital, Fukuoka, Japan.
Shinpei
S
Sakanishi
Department of Pediatrics, St Mary's Hospital, Fukuoka, Japan.
Yuuki
Y
Ishidou
Department of Pediatrics, St Mary's Hospital, Fukuoka, Japan.
Go
G
Kawano
Department of Pediatrics, St Mary's Hospital, Fukuoka, Japan. Electronic address: tmatsu@st-mary-med.or.jp.
Toyojiro
T
Matsuishi
Department of Pediatrics, St Mary's Hospital, Fukuoka, Japan.
Yukihiro
Y
Akita
Department of Pediatrics, St Mary's Hospital, Fukuoka, Japan.
Keizo
K
Obu
D001921:Brain / Q000000981:diagnostic imaging*; D002056:Burns / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D003937:Diagnosis, Differential; D038524:Diffusion Magnetic Resonance Imaging; D005260:Female; D006801:Humans; D007223:Infant; D012640:Seizures / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D012772:Shock, Septic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology
Acute encephalopathy with biphasic seizures and late reduced diffusion (AESD); Bright tree appearance (BTA); Burn; Methicillin-resistant Staphylococcus aureus (MRSA); Toxic shock syndrome (TSS)