What is wrong with these kids? (Mystery Diagnosis) - page 5

by Ashley, PICU RN

11,445 Unique Views | 49 Comments

My area has recently seen 3 children at 2 separate facilities present with eerily similar and so far undiagnosed problems. Similar age group, but nothing else in common (different locations, ethnicities, no similar contacts or... Read More


  1. 3
    It's also possible that these cases are unrelated and any similarities are coincidental.

    I found this helpful article on viral encephalitis.

    Viral encephalitis - New York Methodist Hospital
    swansonmail, Esme12, and tewdles like this.
  2. 2
    I am just a state away and our region tends to have the earliest West Nile cases every year, it seems.

    Q-fever - one of my favorite zebras...as an aside.
    Esme12 and tewdles like this.
  3. 3
    Any update?
  4. 0
    We have seen multiple pts with teratomas, resulting in severe neuro symptoms from constant movement, to seizures. The ages varied from toddler to teenagers, both male and female.
  5. 0
    do not assume or relate the symptoms to a definite medical condition, this will just isolate one of the symptoms that the patient is displaying, but instead, run tests that is applicable to the patient's symptoms and conditions to determine the cure that must be applied onto the patient...
  6. 6
    ^^^^ what? ^^^^
    ashleyisawesome, Esme12, janfrn, and 3 others like this.
  7. 0
    Check into primary amebic meningoencephalitis (PAM), particularly Naegleria Fowleri. Over a year ago, we had a case with similar presentation as you described and usual work up showing nothing. It turned out to be PAM.
  8. 2
    Sorry that I haven't updated sooner.

    There hasn't been any official diagnosis. However, I'm happy to report that the patient who was on our unit (actually the most recent patient to present with these symptoms, was able to be extubated after about two weeks. Other than some rapidly improving physical deficits, he appears completely intact neurologically- responding appropriately to questions and recognizing family members as soon as he was awake enough. I don't have an update about the other cases, since they aren't at our hospital anymore, but it's looking more and more likely that we may never actually find out what caused this in the first place.

    Thanks for your thoughts and your input, as always.
    Esme12 and DeLanaHarvickWannabe like this.
  9. 0
    My first thought on reading this is Spider Bite? from the very poisonous Telamonia Dimidita. Just a guess
  10. 0
    Please read the cdc's page on dengue fever. Even though it is a typically tropical disease, the environmental disaster Sandy left behind could be the culprit.


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