A case of acute disseminated encephalomyelitis following influenza virus A-H1N1 infection

被引：0
作者：
Garazzino, S. [1 ]
Gabiano, C. [1 ]
Calitri, C. [1 ]
Zoppo, M. [1 ]
Scolfaro, C. [1 ]
Aguzzi, S. [1 ]
Boffi, P. [2 ]
Vigliano, N. [3 ]
Tovo, P. -A. [1 ]
机构：
[1] Univ Turin, Dept Pediat, Div Immunol & Infect Dis, Regina Margherita Childrens Hosp, I-10124 Turin, Italy
[2] Regina Margherita Childrens Hosp, Dept Neurol, I-10126 Turin, Italy
[3] Osped Martini, Div Neurol, Turin, Italy
来源：
MINERVA PEDIATRICA | 2013年 / 65卷 / 05期
关键词：
Influenza; Influenza A virus; H1N1; subtype; Encephalitis; CHILDREN; DEMYELINATION;
D O I：
暂无
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
We describe a case of acute disseminated encephalomyelitis (ADEM) occurring in a three-year old girl with influenza A (H1N1)v infection and manifesting with seizures and ataxia. The brain MRI revealed bilateral hyperintense signal changes in basal ganglia and brain stem. The patient was treated with intravenous methylprednisolone bolus followed by tapering steroids and progressively recovered without neurologic sequelae at the latest follow-up. ADEM may represent a rare postinfectious complication following novel pandemic influenza A H1N1v which should be taken into account in the differential diagnosis of associated neurologic manifestations for the specific therapeutic approach and adequate follow-up.
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收藏
页码：565 / 567
页数：3
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