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A fatal case of acute encephalopathy in a child due to coxsackievirus A2 infection: a case report
- Source :
- BMC Infectious Diseases, Vol 21, Iss 1, Pp 1-5 (2021), BMC Infectious Diseases
- Publication Year :
- 2021
- Publisher :
- BMC, 2021.
-
Abstract
- Background Certain types of enteroviruses, including coxsackieviruses, cause encephalitis, and other neurological complications. However, these pathogens rarely cause fatal infections, especially in immunocompetent infants. In this study, we present a rare case of acute encephalopathy caused by coxsackievirus A2 (CV-A2), which progressed rapidly in a previously healthy female child. Case presentation In June 2013, a 26-month-old female child from Kanagawa, Japan, was found unresponsive during sleep. She was healthy until that morning. Her temperature was 37 °C at 08:00. She was feeling fine and went to the nursery that same morning. However, her condition worsened around noon. Therefore, she went home and slept at around 13:00. Surprisingly, after 2 h, her parents checked on her and found that she was lying on her back and was not breathing. Hence, she was immediately taken to a hospital by ambulance, but she was declared dead on arrival at the hospital. Subsequently, pathological autopsy and pathogenetic analysis, including multiple pathogen detection real-time PCR, were conducted to investigate the cause of death. The examination results revealed that she had an infectious respiratory disease and acute encephalopathy due to a CV-A2 infection. Conclusions Based on our findings, we concluded that a previously healthy girl who had no immediate history of underlying medical condition were susceptible to death by acute encephalopathy due to CV-A2 infections. We proposed this conclusion because the patient’s condition progressed rapidly in less than 2 h and eventually led to her death. This is the first report on an acute encephalitis-dependent death in a child due to CV-A2 infection.
- Subjects :
- Pediatrics
medicine.medical_specialty
media_common.quotation_subject
Encephalopathy
Coxsackievirus Infections
Autopsy
Infectious and parasitic diseases
RC109-216
Coxsackievirus
Sudden death
Case report
medicine
Humans
Family
Girl
Child
media_common
Cause of death
Brain Diseases
biology
business.industry
Respiratory disease
medicine.disease
biology.organism_classification
Infectious Diseases
Child, Preschool
Encephalitis
Female
business
Coxsackievirus A2
Subjects
Details
- Language :
- English
- ISSN :
- 14712334
- Volume :
- 21
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC Infectious Diseases
- Accession number :
- edsair.doi.dedup.....380477633efdf85828271488571df65a