Acute cerebellar ataxia associated with enteric fever in a child: a case report

Faruk İncecik1, M Özlem Hergüner, Gülen Mert

  • 1Division of Pediatric Neurology, Department of Pediatrics, Çukurova University Faculty of Medicine, Adana, Turkey. fincecik@yahoo.com.

Insights

Enteric fever, a tropical infectious disease, can rarely cause acute cerebellar ataxia. Prompt antibiotic treatment led to a full recovery in a pediatric patient.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Pediatrics

Background:

  • Enteric fever is a common tropical infectious disease.
  • Central nervous system (CNS) involvement in enteric fever is well-documented, presenting with diverse neurological symptoms.
  • While CNS complications are known, isolated acute cerebellar ataxia is an uncommon presentation.

Observation:

  • A seven-year-old boy presented with symptoms of enteric fever.
  • The patient developed acute cerebellar ataxia as a neurological complication.
  • This presentation of isolated cerebellar ataxia in the context of enteric fever is rare.

Findings:

  • The patient was diagnosed with enteric fever and acute cerebellar ataxia.
  • Treatment involved appropriate antibiotic therapy.
  • Complete neurological recovery was observed within four weeks of treatment.

Implications:

  • This case highlights the rare neurological manifestations of enteric fever.
  • Early diagnosis and appropriate antibiotic treatment are crucial for managing enteric fever and its complications.
  • Awareness of rare neurological presentations like acute cerebellar ataxia can improve patient outcomes.

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