Acute encephalopathy and tubulointerstitial nephritis associated with Yersinia pseudotuberculosis
We report the case of a 28‐month‐old boy with encephalopathy and acute tubulointerstitial nephritis possibly associated with Yersinia pseudotuberculosis (Yp) infection. He was transferred to our center because of impairment of renal function and altered consciousness. He had fever for 5 days after r...
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| Veröffentlicht in: | Pediatrics international 2012-12, Vol.54 (6), p.926-928 |
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| creator | Kaito, Hiroshi Kamei, Koichi Ogura, Masao Kikuchi, Eriko Hoshino, Hideki Nakagawa, Satoshi Matsuoka, Kentaro Abe, Jun Ito, Shuichi |
| description | We report the case of a 28‐month‐old boy with encephalopathy and acute tubulointerstitial nephritis possibly associated with Yersinia pseudotuberculosis (Yp) infection. He was transferred to our center because of impairment of renal function and altered consciousness. He had fever for 5 days after recurrent vomiting and diarrhea. Computed tomography scan was normal, but electroencephalogram (EEG) analyses showed generalized slow wave patterns. Continuous hemodialysis was undergone and then his renal function was improved, but altered consciousness persisted. Single photon emission computed tomography (SPECT) revealed abnormally low signals at entire field, which suggested that he was suffered from encephalopathy. Phenobarbital administration and post‐encephalopathy rehabilitation were started, and he recovered in fully premorbid state with normal EEG and SPECT findings on the 33rd hospital day. Various bacterial cultures were negative, but both Yp antibody and Yp‐derived mitogen (YPM) antibody, the antibody of a specific Yp exotoxin, had an extremely high titer. This is the first report of encephalopathy potentially caused by Yp, indicated by the presence of a high Yp and YPM antibody titer. |
| doi_str_mv | 10.1111/j.1442-200X.2012.03615.x |
| format | Article |
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He was transferred to our center because of impairment of renal function and altered consciousness. He had fever for 5 days after recurrent vomiting and diarrhea. Computed tomography scan was normal, but electroencephalogram (EEG) analyses showed generalized slow wave patterns. Continuous hemodialysis was undergone and then his renal function was improved, but altered consciousness persisted. Single photon emission computed tomography (SPECT) revealed abnormally low signals at entire field, which suggested that he was suffered from encephalopathy. Phenobarbital administration and post‐encephalopathy rehabilitation were started, and he recovered in fully premorbid state with normal EEG and SPECT findings on the 33rd hospital day. Various bacterial cultures were negative, but both Yp antibody and Yp‐derived mitogen (YPM) antibody, the antibody of a specific Yp exotoxin, had an extremely high titer. This is the first report of encephalopathy potentially caused by Yp, indicated by the presence of a high Yp and YPM antibody titer.</description><identifier>ISSN: 1328-8067</identifier><identifier>EISSN: 1442-200X</identifier><identifier>DOI: 10.1111/j.1442-200X.2012.03615.x</identifier><identifier>PMID: 23279023</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Acute Disease ; acute encephalopathy ; Antigens, Bacterial - analysis ; Bacterial Proteins - blood ; Brain Diseases - blood ; Brain Diseases - diagnosis ; Brain Diseases - etiology ; Child, Preschool ; Clinical outcomes ; Diagnosis, Differential ; Electroencephalography ; Encephalitis ; Humans ; Male ; Medical treatment ; Nephritis, Interstitial - diagnosis ; Nephritis, Interstitial - etiology ; Nephritis, Interstitial - microbiology ; Pediatrics ; Tomography, Emission-Computed, Single-Photon ; Yersinia pseudotuberculosis ; Yersinia pseudotuberculosis - immunology ; Yersinia pseudotuberculosis - isolation & purification ; Yersinia pseudotuberculosis Infections - blood ; Yersinia pseudotuberculosis Infections - complications ; Yersinia pseudotuberculosis Infections - microbiology ; Yersinia pseudotuberculosis‐derived mitogen antibody</subject><ispartof>Pediatrics international, 2012-12, Vol.54 (6), p.926-928</ispartof><rights>2012 The Authors. Pediatrics International © 2012 Japan Pediatric Society</rights><rights>2012 The Authors. 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He was transferred to our center because of impairment of renal function and altered consciousness. He had fever for 5 days after recurrent vomiting and diarrhea. Computed tomography scan was normal, but electroencephalogram (EEG) analyses showed generalized slow wave patterns. Continuous hemodialysis was undergone and then his renal function was improved, but altered consciousness persisted. Single photon emission computed tomography (SPECT) revealed abnormally low signals at entire field, which suggested that he was suffered from encephalopathy. Phenobarbital administration and post‐encephalopathy rehabilitation were started, and he recovered in fully premorbid state with normal EEG and SPECT findings on the 33rd hospital day. Various bacterial cultures were negative, but both Yp antibody and Yp‐derived mitogen (YPM) antibody, the antibody of a specific Yp exotoxin, had an extremely high titer. This is the first report of encephalopathy potentially caused by Yp, indicated by the presence of a high Yp and YPM antibody titer.</description><subject>Acute Disease</subject><subject>acute encephalopathy</subject><subject>Antigens, Bacterial - analysis</subject><subject>Bacterial Proteins - blood</subject><subject>Brain Diseases - blood</subject><subject>Brain Diseases - diagnosis</subject><subject>Brain Diseases - etiology</subject><subject>Child, Preschool</subject><subject>Clinical outcomes</subject><subject>Diagnosis, Differential</subject><subject>Electroencephalography</subject><subject>Encephalitis</subject><subject>Humans</subject><subject>Male</subject><subject>Medical treatment</subject><subject>Nephritis, Interstitial - diagnosis</subject><subject>Nephritis, Interstitial - etiology</subject><subject>Nephritis, Interstitial - microbiology</subject><subject>Pediatrics</subject><subject>Tomography, Emission-Computed, Single-Photon</subject><subject>Yersinia pseudotuberculosis</subject><subject>Yersinia pseudotuberculosis - immunology</subject><subject>Yersinia pseudotuberculosis - isolation & purification</subject><subject>Yersinia pseudotuberculosis Infections - blood</subject><subject>Yersinia pseudotuberculosis Infections - complications</subject><subject>Yersinia pseudotuberculosis Infections - microbiology</subject><subject>Yersinia pseudotuberculosis‐derived mitogen antibody</subject><issn>1328-8067</issn><issn>1442-200X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1r3DAQhkVpaT7avxAEvfRiZzSSvw45hDRtAoH20EB6ErI8ZrV4bVeSSfbfV-6mOfQUXfSCnncG8TDGBeQinfNtLpTCDAEecgSBOchSFPnTG3b88vA2ZYl1VkNZHbGTELYAUFe1es-OUGLVAMpjZi7tEonTaGnemGGaTdzsuRk7Hpd2GSY3RvIhuujMwMfE-BQDNyFM1plIHX90ccN_JciNzvA50NJNqUvepnpw4QN715sh0Mfn-5Tdf73-eXWT3X3_dnt1eZfZAlSRWUArDdhetgqoktAXXV9SY22LraUSi7pBbHsSXd-JukVAg00BjSQwaEp5yj4f5s5--r1QiHrngqVhMCNNS9AC60SXqsBXoJUUKJWSCf30H7qdFj-mjyRKYZlAAYmqD5T1Uwieej17tzN-rwXo1Zje6lWMXsXo1Zj-a0w_perZ84Kl3VH3UvynKAEXB-DRDbR_9WD94_rLmuQfqUKmPw</recordid><startdate>201212</startdate><enddate>201212</enddate><creator>Kaito, Hiroshi</creator><creator>Kamei, Koichi</creator><creator>Ogura, Masao</creator><creator>Kikuchi, Eriko</creator><creator>Hoshino, Hideki</creator><creator>Nakagawa, Satoshi</creator><creator>Matsuoka, Kentaro</creator><creator>Abe, Jun</creator><creator>Ito, Shuichi</creator><general>Blackwell Publishing Asia</general><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>7QL</scope><scope>C1K</scope></search><sort><creationdate>201212</creationdate><title>Acute encephalopathy and tubulointerstitial nephritis associated with Yersinia pseudotuberculosis</title><author>Kaito, Hiroshi ; Kamei, Koichi ; Ogura, Masao ; Kikuchi, Eriko ; Hoshino, Hideki ; Nakagawa, Satoshi ; Matsuoka, Kentaro ; Abe, Jun ; Ito, Shuichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5045-c02c3a0cf3b40e730f5df6e9ccb2bce6258922bfe1dfd18b202a295093e0a2a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Acute Disease</topic><topic>acute encephalopathy</topic><topic>Antigens, Bacterial - analysis</topic><topic>Bacterial Proteins - blood</topic><topic>Brain Diseases - blood</topic><topic>Brain Diseases - diagnosis</topic><topic>Brain Diseases - etiology</topic><topic>Child, Preschool</topic><topic>Clinical outcomes</topic><topic>Diagnosis, Differential</topic><topic>Electroencephalography</topic><topic>Encephalitis</topic><topic>Humans</topic><topic>Male</topic><topic>Medical treatment</topic><topic>Nephritis, Interstitial - diagnosis</topic><topic>Nephritis, Interstitial - etiology</topic><topic>Nephritis, Interstitial - microbiology</topic><topic>Pediatrics</topic><topic>Tomography, Emission-Computed, Single-Photon</topic><topic>Yersinia pseudotuberculosis</topic><topic>Yersinia pseudotuberculosis - immunology</topic><topic>Yersinia pseudotuberculosis - isolation & purification</topic><topic>Yersinia pseudotuberculosis Infections - blood</topic><topic>Yersinia pseudotuberculosis Infections - complications</topic><topic>Yersinia pseudotuberculosis Infections - microbiology</topic><topic>Yersinia pseudotuberculosis‐derived mitogen antibody</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kaito, Hiroshi</creatorcontrib><creatorcontrib>Kamei, Koichi</creatorcontrib><creatorcontrib>Ogura, Masao</creatorcontrib><creatorcontrib>Kikuchi, Eriko</creatorcontrib><creatorcontrib>Hoshino, Hideki</creatorcontrib><creatorcontrib>Nakagawa, Satoshi</creatorcontrib><creatorcontrib>Matsuoka, Kentaro</creatorcontrib><creatorcontrib>Abe, Jun</creatorcontrib><creatorcontrib>Ito, Shuichi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Pediatrics international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kaito, Hiroshi</au><au>Kamei, Koichi</au><au>Ogura, Masao</au><au>Kikuchi, Eriko</au><au>Hoshino, Hideki</au><au>Nakagawa, Satoshi</au><au>Matsuoka, Kentaro</au><au>Abe, Jun</au><au>Ito, Shuichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute encephalopathy and tubulointerstitial nephritis associated with Yersinia pseudotuberculosis</atitle><jtitle>Pediatrics international</jtitle><addtitle>Pediatr Int</addtitle><date>2012-12</date><risdate>2012</risdate><volume>54</volume><issue>6</issue><spage>926</spage><epage>928</epage><pages>926-928</pages><issn>1328-8067</issn><eissn>1442-200X</eissn><abstract>We report the case of a 28‐month‐old boy with encephalopathy and acute tubulointerstitial nephritis possibly associated with Yersinia pseudotuberculosis (Yp) infection. He was transferred to our center because of impairment of renal function and altered consciousness. He had fever for 5 days after recurrent vomiting and diarrhea. Computed tomography scan was normal, but electroencephalogram (EEG) analyses showed generalized slow wave patterns. Continuous hemodialysis was undergone and then his renal function was improved, but altered consciousness persisted. Single photon emission computed tomography (SPECT) revealed abnormally low signals at entire field, which suggested that he was suffered from encephalopathy. Phenobarbital administration and post‐encephalopathy rehabilitation were started, and he recovered in fully premorbid state with normal EEG and SPECT findings on the 33rd hospital day. Various bacterial cultures were negative, but both Yp antibody and Yp‐derived mitogen (YPM) antibody, the antibody of a specific Yp exotoxin, had an extremely high titer. This is the first report of encephalopathy potentially caused by Yp, indicated by the presence of a high Yp and YPM antibody titer.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>23279023</pmid><doi>10.1111/j.1442-200X.2012.03615.x</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acute Disease acute encephalopathy Antigens, Bacterial - analysis Bacterial Proteins - blood Brain Diseases - blood Brain Diseases - diagnosis Brain Diseases - etiology Child, Preschool Clinical outcomes Diagnosis, Differential Electroencephalography Encephalitis Humans Male Medical treatment Nephritis, Interstitial - diagnosis Nephritis, Interstitial - etiology Nephritis, Interstitial - microbiology Pediatrics Tomography, Emission-Computed, Single-Photon Yersinia pseudotuberculosis Yersinia pseudotuberculosis - immunology Yersinia pseudotuberculosis - isolation & purification Yersinia pseudotuberculosis Infections - blood Yersinia pseudotuberculosis Infections - complications Yersinia pseudotuberculosis Infections - microbiology Yersinia pseudotuberculosis‐derived mitogen antibody |
| title | Acute encephalopathy and tubulointerstitial nephritis associated with Yersinia pseudotuberculosis |
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