Potential autoimmune encephalitis following yellow fever vaccination: A report of three cases

被引：14

作者：

Guedes, Bruno Fukelmann ^{[1
]}

Ribeiro, Ana Freitas ^{[2
,8
]}

Pinto, Lecio Figueira ^{[1
]}

Vidal, Jose Ernesto ^{[3
,4
,9
]}

de Oliveira, Fernanda Gurgel ^{[5
]}

Sztajnbok, Jaques ^{[6
,7
]}

Penalva de Oliveira, Augusto Cesar ^{[4
]}

Simabukuro, Mateus Mistieri ^{[1
]}

机构：

[1] Univ Sao Paulo, Dept Neurol, Hosp Clin, Fac Med, Sao Paulo, Brazil

[2] Inst Infectol Emilio Ribas, Dept Epidemiol, Sao Paulo, Brazil

[3] Univ Sao Paulo, Dept Molestias Infecciosas & Parasitarias, Hosp Clin, Fac Med, Sao Paulo, Brazil

[4] Inst Infectol Emilio Ribas, Dept Neurol, Sao Paulo, Brazil

[5] Inst Infectol Emilio Ribas, Dept Infectol, Sao Paulo, Brazil

[6] Inst Infectol Emilio Ribas, Unidade Terapia Intens, Sao Paulo, Brazil

[7] Univ Sao Paulo, Inst Crianca, Hosp Clin, Fac Med, Sao Paulo, Brazil

[8] Univ Nove Julho, Sao Paulo, Brazil

[9] Univ Sao Paulo, Inst Med Trop, Lab Invest Med Protozool Bacteriol & Resistencia, Sao Paulo, Brazil

来源：

JOURNAL OF NEUROIMMUNOLOGY | 2021年 / 355卷

关键词：

Autoimmune diseases; Lupus; Encephalitis; NMDA-r encephalitis; Yellow fever vaccine; SYSTEMIC-LUPUS-ERYTHEMATOSUS; NMDA-RECEPTOR ENCEPHALITIS; CASE DEFINITIONS; GUIDELINES; COLLECTION; ANTIBODIES;

D O I：

10.1016/j.jneuroim.2021.577548

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Meningoencephalitis following yellow fever vaccination is considered a viral neuroinvasive disease. We describe three patients with typical autoimmune encephalitis syndromes that developed 1?27 days following yellow fever vaccination. Anti-N-methyl-D-aspartate-r antibodies were identified in the CSF and serum of two patients and the other case was associated with anti-neurexin-3 antibodies. One case was confirmed as vaccine-associated neurotropic disease due to reactive CSF yellow fever IgM, which suggested an infectious-autoimmune overlap mechanism. Two aditional cases of Anti-N-methyl-D-aspartate-r encephalitis were identified in the literature review. Antibody-positive autoimmune encephalitis should be included in the differential diagnosis of neurologic adverse events following yellow fever vaccination.

引用

页数：4

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