Catatonia in a 6-year-old Patient Following Disseminated Group A Streptococcus Infection.

Cawkwell, Philip B ORCID: 0000-0002-7873-1896, Mayor, Ivan Daniel and Shaw, Richard J ORCID: 0000-0001-7027-8997 (2021) Catatonia in a 6-year-old Patient Following Disseminated Group A Streptococcus Infection. Innovations in clinical neuroscience, 18 (1-3). pp. 17-20.

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Abstract

Pediatric catatonia is a complex entity that is easily missed in the hospital setting and seldom reported in the literature. Here, we present the case of a 6-year-old previously healthy female patient who was initially thought to have intractable delirium secondary to disseminated Group A streptococcus (GAS) infection. Careful examination, utilization of the Pediatric Catatonia Rating Scale, and lorazepam challenge were key to elucidating the diagnosis. While GAS is most often associated with pediatric acute-onset neuropsychiatric syndrome (PANS) in the child and adolescent population, we reviewed the limited literature to suggest a mechanism by which it can lead to catatonia. Further systematic study of catatonia in the pediatric population is warranted to better understand pathogenesis and long-term neuropsychiatric outcomes.

Item Type:	Article
Uncontrolled Keywords:	Catatonia, Group A streptococcus, neuropsychiatry, pediatric catatonia
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Systems, Molecular and Integrative Biology
Depositing User:	Symplectic Admin
Date Deposited:	17 Oct 2022 16:01
Last Modified:	08 Mar 2023 19:05
Open Access URL:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC81955...
Related URLs:	Author
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3165567