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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.
Abstract:
Enteric fever is a common infectious disease of the tropical world. Characteristic presenting features include fever, relative bradycardia, diarrhea or constipation, and abdominal pain. Central nervous system involvement is not rare and has a wide spectrum of presentation in enteric fever. Complications such as meningism, delirium, coma, and convulsions have been reported often. However, isolated acute cerebellar ataxia associated with enteric fever is rare. Here, we report a seven-year-old boy with enteric fever who presented with acute cerebellar ataxia. Following treatment with appropriate antibiotics, the patient showed complete recovery over the next four weeks.
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