ABSTRACT
Cat scratch disease (CSD) is usually a benign, self-limited regional lymphadenopathy, caused by Bartonella henselae. However, systemic complications have been described. We report on 2 children who developed neurological symptoms of acute encephalitis or neuroretinitis. Cat scratch disease should be suspected when neurological symptoms of undetermined cause occur in children, whether or not anamnesis is significant.
Subject(s)
Bartonella henselae/isolation & purification , Cat-Scratch Disease/diagnosis , Encephalitis/etiology , Retinitis/etiology , Animals , Cat-Scratch Disease/complications , Cats , Child , Humans , Male , Papilledema/etiology , Seizures/etiology , Visual AcuityABSTRACT
Intrahepatic portosystemic anastomoses are macroscopic communications between the venous portal system and the systemic circulation and located partly in the liver. We report 4 new cases of type II shunts, which illustrate the circumstances of the diagnosis of these exceptional anomalies. For 2 children, the diagnosis was done antenataly by US and spontaneous involution in a few months was observed. In the third case the malformation was evidenced fortuitously at 3 weeks of life, and this 6-year-old child remains completely asymptomatic so far. Then, in the fourth case, a cerebral venous thrombosis was fortuitously and antenatally evidenced in an otherwise uneventful pregnancy and portosystemic shunt was demonstrated postnataly in the extensive work up of the neonate.
Subject(s)
Hepatic Veins/abnormalities , Portal System/abnormalities , Portal Vein/abnormalities , Vascular Fistula , Follow-Up Studies , Humans , Infant, Newborn , Intracranial Thrombosis/complications , Intracranial Thrombosis/diagnosis , Male , Time Factors , Ultrasonography, Prenatal , Vascular Fistula/complicationsABSTRACT
Benign paroxysmal tonic upgaze is an ill-defined neuro-ophthalmological disorder with onset in infancy. It consists of sudden ocular movements with sustained upward deviation of the eyes. Episodes disappear with time: spontaneous remission occurs within a few months or years without any change in psychomotor development. EEG and neuro-imaging are unrevealing. To date, the pathogenesis of the condition is still unknown. Early recognition of this benign condition minimizes potentially unnecessary investigations and treatments. Herein, we report on 2 additional sporadic cases.
