Encephalitis with convulsive status in an immunocompetent pediatric patient caused by Bartonella henselae.
Cat scratch's disease caused by Bartonella henselae, is known to be a self-limited benign process in immunocompetent children. The association with neurologic manifestations is very uncommon especially in patient with no immunologic defects and in cases without specific treatment. A 7 years old male patient, without any immunocompromised defect, presented an atypic presentation of the cat scratch disease. The patient came to the hospital in two opportunities in a status epilepticus, in both cases the diagnosis was encephalitis by Bartonella henselae and the evolution with treatment was monitored with PCR (polymerase chain reaction) in cerebrospinal fluid and blood, as well as IFI (IgM, IgG) serology (indirect immunofluorescence). The patient had a favorable clinical and laboratory evolution for 6 months showing no recurrence of the disease.
Infectogía Pediátrica, Servicio de Pediatría Especializada, Hospital Edgardo Rebagliati Martins, Jirón Edgardo Rebagliati NO. 490 Jesús María, Lima, Peru. Electronic address: rcerpapolar@hotmail.com.
Rosario
R
Cerpa Polar
Neurologia Pediátrica, Hospital Edgardo Rebagliati Martins, Jirón Edgardo Rebagliati NO. 490 Jesús María, Lima, Peru.
Gabriela
G
Orellana
School of Medicine, Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas, Av. San Marcos cdra 2, Cedros de Villa, Lima, Peru; Faculty of Health Sciences, Research Center of the Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas, Av. San Marcos cdra. 2, Cedros de Villa, Lima, Peru.
Wilmer
W
Silva Caso
School of Medicine, Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas, Av. San Marcos cdra 2, Cedros de Villa, Lima, Peru.
José
J
Sánchez Carbonel
Neurologia Pediátrica, Hospital Edgardo Rebagliati Martins, Jirón Edgardo Rebagliati NO. 490 Jesús María, Lima, Peru.
Javier
J
Santisteban
School of Medicine, Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas, Av. San Marcos cdra 2, Cedros de Villa, Lima, Peru; Faculty of Health Sciences, Research Center of the Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas, Av. San Marcos cdra. 2, Cedros de Villa, Lima, Peru. Electronic address: jdelvall@upc.edu.pe.
Juana
J
Del Valle Mendoza
Clínica Pediatrica, Hospital Edgardo Rebagliati Martins, Jirón Edgardo Rebagliati NO. 490 Jesús María, Lima, Peru.
Javier
J
Santisteban
Bartonella henselae; Cat scratch's disease; Convulsive status; Encephalitis; Immunocompetent; Pediatric patient