A PROPÓSITO DE UN CASO: ENCEFALITIS POR PANTOEA AGGLOMERANS CON DEBUT DE SÍNDROME DE GUILLAIN BARRÉ

A case report: Pantoea agglomerans encephalitis with debut Guillain Barre syndrome

Abstract

Introduction: Encephalitis is an inflammation of the brain parenchyma whose pathogen is only detected in half of the cases and is mostly caused by viruses. Infection by Pantoea agglomerans, although very rare, can occur in patients who are immunosuppressed or who have had direct contact with its natural reservoir. Guillain-Barré syndrome is an autoimmune neuropathy triggered by a previous infection that manifests with progressive ascending muscle weakness and areflexia. Case presentation: The patient is a 10-year-old female patient, who about 5 days prior to the presentation of the clinical picture, she went to a rural area where she presented asthenia and mild pain in the lower extremities, accompanied by weakness and difficulty in standing; 4 days later the condition intensified with absolute impossibility to walk, and decreased muscle strength in the upper limbs. The condition persists with pain in the soles of the feet and hyperesthesia when rubbing the blanket, so she goes to a private clinic, where she is evaluated by pediatrics and recommended to go to a more complex hospital. Conclusion: It is an atypical presentation of encephalitis, since it was caused by P agglomerans and debuted with Guillain-Barré syndrome.