CHRONIC ENCEPHALOMYELITIS WITH SPECIFIC INCREASE IN INTRATHECAL MUMPS ANTIBODIES
Identifieur interne : 001686 ( Main/Exploration ); précédent : 001685; suivant : 001687CHRONIC ENCEPHALOMYELITIS WITH SPECIFIC INCREASE IN INTRATHECAL MUMPS ANTIBODIES
Auteurs : Antti Vaheri [Finlande] ; Ilkka Julkunen [Finlande] ; Marja-Leena Koskiniemi [Finlande]Source :
- The Lancet [ 0140-6736 ] ; 1982.
English descriptors
- Teeft :
- Antibody, Antibody patterns, Antibody production, Antibody ratio, Antibody response, Aqueductal stenosis, Bactericidal activity, Cerebrospinal fluid, Chlamydia group antigen, Chronic encephalomyelitis, Chronic infections, Clin microbiol, Control patients, Enzyme immunoassay, Further deterioration, Fusion protein, Measles, Measles virus, Multiple sclerosis, Mumps, Mumps antibodies, Mumps meningitis, Mumps virus, Mumps virus infection, Mycoplasma pneumoniae, Neuropsychological deficiences, Normal range, Oligoclonal, Outpatient clinic, Panencephalitis, Positive babinski sign, Present case, Protein concentration, Pseudomonas, Respiratory syncytial, Rubella, Sclerosing, Serum mumps, Sick children, Specific increase, Structural proteins, Subacute, Subacute sclerosing panencephalitis, Toxoplasma gondii, Virus.
Abstract
Abstract: Symptoms of severe encephalomyelitis developed in a 31-year-old man in 1967. He had a high serum antibody titre to mumps virus associated with a polymorphic cell reaction and an increased protein concentration in cerebrospinal fluid (CSF). He recovered considerably within a year and was able to resume work. In 1975 his condition deteriorated again; it improved during the following few years, but a further deterioration then occurred. In March, 1981, the complement-fixing antibody titre to mumps virus was 1/32 in the serum and 1/4 in the CSF. In November, 1981, the CSF IgG index was increased and the altered serum/CSF antibody ratio persisted. The specificity of the altered antibody ratio was confirmed by the single radial haemolysis test and an immunoassay specific for mumps virus. Antibodies against the mumps virus envelope glycoprotein, M-protein, and nucleoprotein could be demonstrated by immunoprecipitation and the antibody patterns in serum and CSF were similar. Antibodies against other microorganisms were not detected in the patient's CSF, and mumps antibodies were not found in the CSF specimens of 57 control patients. This case may be an example of a new disease—chronic mumps virus infection in the central nervous system.
Url:
DOI: 10.1016/S0140-6736(82)90713-9
Affiliations:
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Le document en format XML
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<term>Antibody production</term>
<term>Antibody ratio</term>
<term>Antibody response</term>
<term>Aqueductal stenosis</term>
<term>Bactericidal activity</term>
<term>Cerebrospinal fluid</term>
<term>Chlamydia group antigen</term>
<term>Chronic encephalomyelitis</term>
<term>Chronic infections</term>
<term>Clin microbiol</term>
<term>Control patients</term>
<term>Enzyme immunoassay</term>
<term>Further deterioration</term>
<term>Fusion protein</term>
<term>Measles</term>
<term>Measles virus</term>
<term>Multiple sclerosis</term>
<term>Mumps</term>
<term>Mumps antibodies</term>
<term>Mumps meningitis</term>
<term>Mumps virus</term>
<term>Mumps virus infection</term>
<term>Mycoplasma pneumoniae</term>
<term>Neuropsychological deficiences</term>
<term>Normal range</term>
<term>Oligoclonal</term>
<term>Outpatient clinic</term>
<term>Panencephalitis</term>
<term>Positive babinski sign</term>
<term>Present case</term>
<term>Protein concentration</term>
<term>Pseudomonas</term>
<term>Respiratory syncytial</term>
<term>Rubella</term>
<term>Sclerosing</term>
<term>Serum mumps</term>
<term>Sick children</term>
<term>Specific increase</term>
<term>Structural proteins</term>
<term>Subacute</term>
<term>Subacute sclerosing panencephalitis</term>
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<front><div type="abstract" xml:lang="en">Abstract: Symptoms of severe encephalomyelitis developed in a 31-year-old man in 1967. He had a high serum antibody titre to mumps virus associated with a polymorphic cell reaction and an increased protein concentration in cerebrospinal fluid (CSF). He recovered considerably within a year and was able to resume work. In 1975 his condition deteriorated again; it improved during the following few years, but a further deterioration then occurred. In March, 1981, the complement-fixing antibody titre to mumps virus was 1/32 in the serum and 1/4 in the CSF. In November, 1981, the CSF IgG index was increased and the altered serum/CSF antibody ratio persisted. The specificity of the altered antibody ratio was confirmed by the single radial haemolysis test and an immunoassay specific for mumps virus. Antibodies against the mumps virus envelope glycoprotein, M-protein, and nucleoprotein could be demonstrated by immunoprecipitation and the antibody patterns in serum and CSF were similar. Antibodies against other microorganisms were not detected in the patient's CSF, and mumps antibodies were not found in the CSF specimens of 57 control patients. This case may be an example of a new disease—chronic mumps virus infection in the central nervous system.</div>
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