Pediatric Emergency Care

Skip Navigation LinksHome > August 2009 - Volume 25 - Issue 8 > A Child With Difficulty Swallowing
Pediatric Emergency Care:
doi: 10.1097/PEC.0b013e3181b0a443
Illustrative Cases

A Child With Difficulty Swallowing

Pittard, Andrew MD*; Abramo, Thomas J. MD*†; Arnold, Donald H. MD, MPH*†

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Difficulty swallowing is a common presenting complaint among children seen in the emergency department. We report a case of a male child who presented with difficulty swallowing as the first manifestation of acute disseminated encephalomyelitis and review the pathogenesis and clinical manifestations of this disease. Acute disseminated encephalomyelitis is typically a monophasic, postinfectious, demyelinating disease that presents most often with encephalopathy and acute or subacute, multifocal neurologic deficits. The case demonstrates the importance of considering alternate diagnoses when presented with a patient having a common symptom for which evaluation does not provide a plausible cause.

© 2009 Lippincott Williams & Wilkins, Inc.


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