RESUMO
UNLABELLED: Acute transverse myelitis is a rare disorder in childhood. It usually occurs as a post-infectious disease, but a precise infectious agent is identified in only 20% of cases. OBSERVATION: The diagnosis of acute transverse myelitis was made in a 5.5-year-old girl who initially presented with left Claude-Bernard-Horner syndrome and meningitis. A few days later, motor and sensory tetraparesia with bladder dysfunction was observed. Magnetic resonance imaging showed a diffuse lesion in the medulla, with a hypersignal in the T2 and a hyposignal in the T1 sequences. Serum analysis showed the presence of a viral infection due to the lymphocytic choriomeningitis (LCM) virus. The outcome was marked by complete recovery of the sensorimotor deficit, but a persistence of the left Claude-Bernard-Horner syndrome. CONCLUSION: In rare cases, the LCM virus is responsible for myelitis. In the present case, the Claude-Bernard-Horner syndrome was secondary to the cervico-medullary lesion. Recent reports in the literature have been discussed, in particular as regards the use of immunomodulatory therapy, which clearly improves patient prognosis.
Assuntos
Síndrome de Horner/virologia , Coriomeningite Linfocítica/complicações , Coriomeningite Linfocítica/diagnóstico , Mielite Transversa/virologia , Doença Aguda , Anti-Inflamatórios/uso terapêutico , Pré-Escolar , Feminino , Febre/virologia , Cefaleia/virologia , Humanos , Técnicas Imunoenzimáticas , Imunoglobulinas Intravenosas/uso terapêutico , Coriomeningite Linfocítica/sangue , Coriomeningite Linfocítica/tratamento farmacológico , Imageamento por Ressonância Magnética , Metilprednisolona/uso terapêutico , Resultado do Tratamento , Vômito/virologiaAssuntos
Doença Celíaca/diagnóstico , Doenças Linfáticas/etiologia , Linfoma , Mesentério/patologia , Biópsia , Doença Celíaca/complicações , Doença Celíaca/patologia , Criança , Diagnóstico Diferencial , Humanos , Doenças Linfáticas/patologia , Masculino , Espaço Retroperitoneal , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
BACKGROUND: Fetal alcohol syndrome is quite common in our region (incidence: 1/700 live births). It usually associates facial dysmorphism, intra-uterine growth retardation and mental delay. CASE REPORT: Jonathan, born to an alcoholic mother, presented a typical dysmorphy of fetal alcohol syndrome and a low inserted umbilicus. A small bowel atresia was discovered at the third day of life and operated on. CONCLUSION: Although never been previously described, this association suggests a common embryological origin between fetal alcohol syndrome, small bowel atresia, and umbilical abnormality.