An 11-year-old right-handed boy was admitted to the hospitalbecause of a seizure.
The child had been well until the day of admission, when hestood up and fell, striking his head on a desk. He became unconscious,with arms extended and pronated, and had a right focal motorseizure that became generalized and lasted 20 minutes. Therewas no contusion, rash, or lymphadenopathy. Emergency medicaltechnicians found him confused, combative, and unresponsiveto verbal stimuli. He was brought to this hospital.
The boy's mother stated that he had developed normally withoutany serious illnesses. An adult brother had died . . . [Full Text of this Article]
Differential Diagnosis
Clinical Diagnosis
Dr. James J. Riviello, Jr.'s, Diagnosis
Pathological Discussion
Laboratory Diagnosis
Addendum
References
This article has been cited by other articles:
Breitschwerdt, E. B., Maggi, R. G., Nicholson, W. L., Cherry, N. A., Woods, C. W.
(2008). Bartonella sp. Bacteremia in Patients with Neurological and Neurocognitive Dysfunction. J. Clin. Microbiol.
46: 2856-2861
[Abstract][Full Text]
Breitschwerdt, E. B., Maggi, R. G., Sigmon, B., Nicholson, W. L.
(2007). Isolation of Bartonella quintana from a Woman and a Cat following Putative Bite Transmission. J. Clin. Microbiol.
45: 270-272
[Abstract][Full Text]
Bernit, E., Pouget, J., Janbon, F., Dutronc, H., Martinez, P., Brouqui, P., Raoult, D.
(2002). Neurological Involvement in Acute Q Fever: A Report of 29 Cases and Review of the Literature. Arch Intern Med
162: 693-700
[Abstract][Full Text]
MANDEL, L., SURATTANONT, F., MIREMADI, R.
(2001). Cat-scratch disease: Considerations for dentistry. Journal of the American Dental Association
132: 911-914
[Abstract][Full Text]
Amdur, R. J., Daley, J., Parker, R. A., Hartman, E. E., Delbanco, T. L.
(1998). Prominence of Patients' Insurance Status in Clinical Crossroads. JAMA
280: 1137-1138
[Full Text]