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Administered by: Unknown Purchased by: Unknown
Life Threatening? Yes
Write-up: Approx 3 weeks after getting 1st set of Gardasil, patient complained that she was weak and was having a hard time speaking. On 11/29/08 patient had 2 seizures. She was was taken to the ER. Since the first few days of her illness, she stopped being able to talk, walk and has been completely unresponsive. She is on a ventilator & has a feeding tube. She has neurological movements. All of the testing done shows that patient has encephalitis. The cause of the Encephalitis is a reaction to the Gardasil Vaccine. 2/18/09 Received hospital medical records of 12/1-12/4/2008. FINAL DX: meningoencephalitis w/significant mental changes & seizures Records reveal patient experienced seizure that progressed to loss of speech, sustained focal seizures, oral intake reduced, drowsiness, floppy. Developed fever in hospital. Neuro & ID consult done. Tx w/antiseizure meds, antivirals, antibiotics. Transferred to higher level of care peds neuro ICU. 3/9/09 Received ER records of 12/5/08. FINAL DX: Encephalitis/encephalopathy; seizure disorder; history of depression w/suicidal attempts Records reveal patient had been transferred from outlying hospital. Exam revealed drowsiness, not able to follow commands, PERRL, hypertonicity of all limbs, DTRs increased. No PICU bed available & held in ER. Neuro consult done. Tx w/antivirals & continued on antiseizure meds. 3/9/09 Received hospital medical records of 2/10-currently inpatient FINAL DX: recent viral encephalitis(presumed HSV) & subsequent neurologic devastation presented w/MSSA septic shock, DIC, acute on chronic respiratory failure, acute renal failure, s/p tracheostomy Records reveal patient had been d/c from PICU w/HSV encephalitis 10/2008 w/resulting severe neurological damage. Now w/fever, hypotension & decreased mental status. Transferred from outlying ER w/platelets of 17. Tx w/IV antibiotics, plts/FFP/PRBC transfusions, pressors. Patient trach to vent w/large amount yellow sputum.
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