@article{ref1,
title="Late-onset sepsis and encephalopathy after bicycle-spoke injury: a case report",
journal="BMC infectious diseases",
year="2019",
author="Tanaka, Tamami and Kanno, Shunsuke and Muraoka, Mamoru and Ichimiya, Yuko and Kaku, Noriyuki and Motomura, Yoshitomo and Takemoto, Ryuichi and Ohga, Shouichi and Maehara, Yoshihiko and Sakai, Yasunari",
volume="19",
number="1",
pages="e472-e472",
abstract="BACKGROUND: Bicycle-spoke injuries rarely cause late complications of infection, including sepsis and sepsis-associated encephalopathy, with appropriate treatments. CASE PRESENTATION: We experienced a 2-year-old girl who developed the signs of encephalopathy with fever 6 months after a spoke-injury. On admission, the injured skin was inflamed with cellulitis. The blood culture was positive for methicillin-sensitive Staphylococcus aureus. Electroencephalogram showed diffuse slow-wave activity. Diffusion-weighted magnetic resonance imaging detected a high-intensity lesion with decreased diffusivity at the right frontal cortex. She received immunoglobulin and combined antibiotics treatments in the intensive care unit, and successfully overcame the sepsis-associated encephalopathy without neurological impairments. <br><br>CONCLUSION: This is the first report demonstrating that sepsis and its associated encephalopathy occurs in a remote period after the bicycle-spoke injury.<p /> <p>Language: en</p>",
language="en",
issn="1471-2334",
doi="10.1186/s12879-019-4082-4",
url="http://dx.doi.org/10.1186/s12879-019-4082-4"
}