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Transient dysautonomia and cerebellitis in childhood enteric fever

Rajoo Thapa1, Pritam Banerjee, Nishar Akhtar

  • 1Department of Pediatrics, Employees State Insurance Corporation Hospital and Occupational Disease Center (Eastern Zone), Calcutta, India. rajoothapa@yahoo.co.in

Journal of Child Neurology
|July 23, 2008
PubMed

Insights

A rare case of childhood enteric fever complicated by dysautonomia and cerebellitis is presented. Both neurological complications resolved fully, showing a favorable outcome with conservative management and antibiotics.

Area of Science:

  • Pediatric Neurology
  • Infectious Diseases

Background:

  • Enteric fever, a bacterial infection, can present with diverse neurological complications.
  • While cerebellitis is a known complication, dysautonomia is an uncommonly reported association in pediatric enteric fever.

Observation:

  • A child diagnosed with enteric fever developed transient dysautonomia and cerebellitis.
  • The patient received intravenous antibiotics for the infection and conservative management for the neurological deficits.

Findings:

  • Neurological complications, including dysautonomia and cerebellitis, showed complete resolution within 5 and 8 days of admission, respectively.
  • A 6-month follow-up revealed normal neurological examination results, indicating full recovery.

Implications:

  • This case highlights the potential for dysautonomia as a rare complication of childhood enteric fever.
  • Early recognition and supportive care are crucial for managing these neurological sequelae, ensuring favorable long-term outcomes.

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