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- Title
Elsberg Syndrome with Mixed Presentation as Meningitis Retention Syndrome: A Pediatric Case Report and Comprehensive Review of the Literature.
- Authors
Hsu, Mandy; El Seblani, Nader; Zhu, Zahra; Ramisetty, Bhuvaneswari; Day, Christopher; Zachariah, Jikku; Kaur, Divpreet; Kumar, Ashutosh; Paudel, Sita; Paul, Dustin; Kochar, Puneet Singh; Carney, Paul R; Naik, Sunil
- Abstract
Elsberg syndrome is a typically infectious syndrome that may cause acute or subacute bilateral lumbosacral radiculitis and sometimes lower spinal cord myelitis. Patients often present with various neurological symptoms involving the lower extremities, including numbness, weakness, and urinary disturbances such as retention. A 9-year-old girl with no significant past medical history presented with altered mental status, fever, urinary retention, and anuria and was found to have encephalomyelitis. An extensive diagnostic workup led to ruling out possible etiologies until identifying Elsberg syndrome. In this report, we describe a case of Elsberg syndrome caused by West Nile virus (WNV). To the best of our knowledge, this is the first reported case of its kind in the pediatric population. Utilizing PubMed and Web of Science databases, we reviewed the literature to describe the neurogenic control of the urinary system in correlation to a multitude of neurologic pathologies.
- Subjects
HERPESVIRUS disease treatment; HERPESVIRUS diseases; CHEST X rays; OXYBUTYNIN (Drug); PLASMA exchange (Therapeutics); WEST Nile virus; TREATMENT effectiveness; BLOOD testing; COMPUTED tomography; CEREBROSPINAL fluid; NEUROLOGIC examination
- Publication
Children, 2023, Vol 10, Issue 4, p724
- ISSN
2227-9067
- Publication type
Article
- DOI
10.3390/children10040724