Case 16-2015: A 9-Year-Old Girl with Loss of Consciousness and Seizures

A 9-year-old girl presented to the emergency department with loss of consciousness and a seizure. She had returned from a trip to Puerto Rico 3 weeks earlier. Unilateral inguinal lymphadenopathy was present, and rapidly progressive encephalopathy developed. Presentation of Case Ms. Caren T. Harris (Pediatric Surgery): A 9-year-old girl was admitted to this hospital because of loss of consciousness and seizures. The patient had had recent inguinal pain and swelling but had been otherwise well until the morning of admission, in early autumn, when she fell down one stair at home and struck her head. A hematoma developed on the right side of the forehead, without loss of consciousness or other injury. Shortly thereafter, she ate breakfast and then attended a previously scheduled appointment in the outpatient surgery clinic of this hospital to evaluate inguinal pain and . . .