Campylobacter Enteritis Presenting with Convulsions

Solomon, Nathaniel H.; Lavie, Sal; Tenney, Barbara L.

doi:10.1177/000992288202100209

Cited by 18 publications

(10 citation statements)

References 11 publications

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“…Campylobacter-and Shigella-associated cases were occasionally associated with blood and/or mucus in stools as reported elsewhere in Egypt, 8,26 while Campylobacter infections were also found to be associated with convulsions, possible febrile seizures, that have also been reported elsewhere. 27,28 A potential limitation to the current study is the generalizability of the data from two clinics of the Nile River Delta to the pediatric population of Egypt. An additional concern is that differences between the two study sites may have been due to dissimilarity in interviewing, clinical methods, or sample collection.…”

Section: Discussionmentioning

confidence: 97%

Clinic-Based Surveillance for Bacterial- And Rotavirus-Associated Diarrhea in Egyptian Children

Wierzba

Abdel-Messih²,

Abu‐Elyazeed³

et al. 2006

The American Journal of Tropical Medicine and Hygiene

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To identify enteropathogens for vaccine development, we implemented clinic-based surveillance for severe pediatric diarrhea in Egypt's Nile River Delta. Over 2 years, a physician clinically evaluated and obtained stool samples for microbiology from patients with diarrhea and less than 6 years of age. In the first (N = 714) and second clinic (N = 561), respectively, 36% (N = 254) and 46% (N = 260) of children were infected with rotavirus, enterotoxigenic Escherichia coli (ETEC), Campylobacter, or Shigella. When excluding mixed rotavirus-bacterial infections, for the first and second clinic, 23% and 10% had rotavirus-associated diarrhea, and 14% and 17% had ETEC-associated diarrhea, respectively. Campylobacter-associated diarrhea was 1% and 3%, and Shigella-associated diarrhea was 2% and 1%, respectively, for the two clinics. Rotavirus-associated diarrhea peaked in late summer to early winter, while bacterial agents were prevalent during summer. Rotavirus-associated cases presented with dehydration, vomiting, and were often hospitalized. Children with Shigella- or Campylobacter-associated diarrhea reported as watery diarrhea and rarely dysentery. ETEC did not have any clinically distinct characteristics. For vaccine development and/or deployment, our study suggests that rotavirus is of principle concern, followed by ETEC, Shigella, and Campylobacter.

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Section: Discussionmentioning

confidence: 97%

Clinic-Based Surveillance for Bacterial- And Rotavirus-Associated Diarrhea in Egyptian Children

Wierzba

Abdel-Messih²,

Abu‐Elyazeed³

et al. 2006

The American Journal of Tropical Medicine and Hygiene

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“…Encephalopathic manifestations may also occur in association with hemolytic-uremic syndrome following a prodromal diarrheic illness. In addition, encephalopathy may be associated with Campylobacter [1], Shigella[2] or non-typhoidal Salmonella enteritis [3]. In contrast, the occurrence of afebrile seizures during viral gastroenteritis without dehydration or electrolyte imbalance is little known in Western countries, is not reported in any recent American or British pediatric textbooks, and, to our knowledge, this cohort is the first to be reported outside Asia.…”

Section: Discussionmentioning

confidence: 99%

Benign afebrile cluster convulsions with gastroenteritis: an observational study

Narchi

2004

BMC Pediatr

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Backround: The occurrence of afebrile seizures in association with viral gastroenteritis, without dehydration or electrolyte imbalance, is virtually unknown outside Asia. They are reported to have a benign prognosis and not to require specific investigations or therapy. Methods:We report the occurrence of such afebrile convulsions in association with viral gastroenteritis without dehydration or electrolyte imbalance, over a 3-year period, in a cohort of 14 British children. Results:The children (5 males and 9 females, 10 Caucasians and 4 Asians) were aged 9 to 60 months (median 14.5 months). All 14 had a normal neurological examination and normal serum biochemistry. Twelve children had generalised seizures and 2 had, in addition, absence seizures. The number of seizures per child ranged from 1 to 8. Most convulsions were short with 85.7% of children having the longest seizure not longer than 4 minutes. The longest duration for a seizure was 10 minutes and occurred in 2 children. Convulsions did not recur after the first day in 10 children, 3 children had recurrences the second day and one child on the fourth day. No convulsions recurred after 4 days.Cerebrospinal fluid studies, computed tomography and electroencephalogram (EEG) were performed on two children who had prolonged seizures and the results were normal. No pathogenic bacteria were grown in any of the stools. Enzyme immunoassay detection of Rotavirus in the stools was positive in 7 of the 10 children where it was tested. All 14 children recovered spontaneously within a few days. On long-term follow of up to 31 months (median 16 months), none had further convulsions and all had normal development milestones. Conclusions:Afebrile seizures in association with viral gastroenteritis do also occur outside Asia. Recognition of this entity should lead to reassurance of the parents. As in previously published series, investigations such as lumbar puncture, neuroimaging and EEG are usually normal and may not be necessary in most cases. Likewise, published data indicate that long-term anticonvulsant therapy is not usually warranted and the prognosis seems to be reassuring.

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“…Two babies had mild dehydration which may have contributed to the pyrexia. Older children may have associated fever which has been documented in previous studies [15,16] and may even present with convulsions [17]. None had abdominal distention.…”

Section: Discussionmentioning

confidence: 55%