Elsberg Syndrome with Mixed Presentation as Meningitis Retention Syndrome: A Pediatric Case Report and Comprehensive Review of the Literature
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 distur...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/10/4/724 |
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| author | Mandy Hsu Nader El Seblani Zahra Zhu Bhuvaneswari Ramisetty Christopher Day Jikku Zachariah Divpreet Kaur Ashutosh Kumar Sita Paudel Dustin Paul Puneet Singh Kochar Paul R Carney Sunil Naik |
| author_facet | Mandy Hsu Nader El Seblani Zahra Zhu Bhuvaneswari Ramisetty Christopher Day Jikku Zachariah Divpreet Kaur Ashutosh Kumar Sita Paudel Dustin Paul Puneet Singh Kochar Paul R Carney Sunil Naik |
| author_sort | Mandy Hsu |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-11T05:08:24Z |
| format | Article |
| id | doaj.art-c82417d6e3e2483b9a70278ba462834f |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-11T05:08:24Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-c82417d6e3e2483b9a70278ba462834f2023-11-17T18:46:49ZengMDPI AGChildren2227-90672023-04-0110472410.3390/children10040724Elsberg Syndrome with Mixed Presentation as Meningitis Retention Syndrome: A Pediatric Case Report and Comprehensive Review of the LiteratureMandy Hsu0Nader El Seblani1Zahra Zhu2Bhuvaneswari Ramisetty3Christopher Day4Jikku Zachariah5Divpreet Kaur6Ashutosh Kumar7Sita Paudel8Dustin Paul9Puneet Singh Kochar10Paul R Carney11Sunil Naik12University Park Program, Penn State College of Medicine, State College, PA 16801, USADepartment of Neurology, Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA 17033, USACollege of Medicine, Penn State University, Hershey, PA 17033, USAAlluri Sita Ramaraju Academy of Medical Sciences, Eluru 534005, IndiaCollege of Medicine, Penn State University, Hershey, PA 17033, USADepartment of Neurology, Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA 17033, USADepartment of Neurology, Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA 17033, USADepartment of Pediatrics and Neurology, Penn State Children’s Hospital, Penn State College of Medicine, Hershey, PA 17033, USADepartment of Pediatrics and Neurology, Penn State Children’s Hospital, Penn State College of Medicine, Hershey, PA 17033, USADepartment of Pediatrics and Neurology, Penn State Children’s Hospital, Penn State College of Medicine, Hershey, PA 17033, USADepartment of Radiology, Division of Neuroradiology, Penn State College of Medicine, Hershey, PA 17033, USADivision of Pediatric Neurology, Department of Child Health, The University of Missouri at Columbia, Columbia, MO 65211, USADepartment of Pediatrics and Neurology, Penn State Children’s Hospital, Penn State College of Medicine, Hershey, PA 17033, USAElsberg 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.https://www.mdpi.com/2227-9067/10/4/724Elsberg syndromemeningitis retention syndrome (MRS)encephalopathyWest Nile virusurinary neuroanatomyurinary retention |
| spellingShingle | Mandy Hsu Nader El Seblani Zahra Zhu Bhuvaneswari Ramisetty Christopher Day Jikku Zachariah Divpreet Kaur Ashutosh Kumar Sita Paudel Dustin Paul Puneet Singh Kochar Paul R Carney Sunil Naik Elsberg Syndrome with Mixed Presentation as Meningitis Retention Syndrome: A Pediatric Case Report and Comprehensive Review of the Literature Children Elsberg syndrome meningitis retention syndrome (MRS) encephalopathy West Nile virus urinary neuroanatomy urinary retention |
| title | Elsberg Syndrome with Mixed Presentation as Meningitis Retention Syndrome: A Pediatric Case Report and Comprehensive Review of the Literature |
| title_full | Elsberg Syndrome with Mixed Presentation as Meningitis Retention Syndrome: A Pediatric Case Report and Comprehensive Review of the Literature |
| title_fullStr | Elsberg Syndrome with Mixed Presentation as Meningitis Retention Syndrome: A Pediatric Case Report and Comprehensive Review of the Literature |
| title_full_unstemmed | Elsberg Syndrome with Mixed Presentation as Meningitis Retention Syndrome: A Pediatric Case Report and Comprehensive Review of the Literature |
| title_short | Elsberg Syndrome with Mixed Presentation as Meningitis Retention Syndrome: A Pediatric Case Report and Comprehensive Review of the Literature |
| title_sort | elsberg syndrome with mixed presentation as meningitis retention syndrome a pediatric case report and comprehensive review of the literature |
| topic | Elsberg syndrome meningitis retention syndrome (MRS) encephalopathy West Nile virus urinary neuroanatomy urinary retention |
| url | https://www.mdpi.com/2227-9067/10/4/724 |
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