Mild Encephalitis/Encephalopathy with a Reversible Splenial Lesion in an Adult Patient with Influenza
Identifieur interne : 000C78 ( Main/Exploration ); précédent : 000C77; suivant : 000C79Mild Encephalitis/Encephalopathy with a Reversible Splenial Lesion in an Adult Patient with Influenza
Auteurs : Hana Takatsu [Japon] ; Naoto Ishimaru [Japon] ; Madoka Ito [Japon] ; Saori Kinami [Japon]Source :
- Internal Medicine [ 0918-2918 ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Corps calleux, Muscles paravertébraux.
- Adulte, Encéphalite, Encéphalopathies, Femelle, Grippe humaine, Humains, Imagerie par résonance magnétique, Virus de la grippe A.
English descriptors
- KwdEn :
- MESH :
- complications : Brain Diseases, Encephalitis, Influenza, Human.
- pathology : Corpus Callosum, Paraspinal Muscles.
- Adult, Female, Humans, Influenza A virus, Magnetic Resonance Imaging.
Abstract
We herein report the case of a 31-year-old Japanese woman who developed adult-onset clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) and presented with consciousness disorder and olfactory disturbance secondary to influenza A infection. The patient's neurological symptoms and the lesion in the splenium resolved within 14 days without therapy. Magnetic resonance images and the clinical course were consistent with a diagnosis of MERS; however, mental changes following the influenza infection always present a diagnostic dilemma for physicians. We considered various diagnoses, including viral encephalitis, medication-related encephalopathy, and MERS. A comprehensive assessment may be required to diagnose MERS, since it may mimic other neurological diseases, such as viral encephalitis and medication-related encephalopathy.
Url:
DOI: 10.2169/internalmedicine.8997-17
PubMed: 28943565
PubMed Central: 5725867
Affiliations:
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first="Hana" last="Takatsu">Hana Takatsu</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of General Internal Medicine, Akashi Medical Center, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of General Internal Medicine, Akashi Medical Center</wicri:regionArea><wicri:noRegion>Akashi Medical Center</wicri:noRegion></affiliation></author><author><name sortKey="Ishimaru, Naoto" sort="Ishimaru, Naoto" uniqKey="Ishimaru N" first="Naoto" last="Ishimaru">Naoto Ishimaru</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of General Internal Medicine, Akashi Medical Center, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of General Internal Medicine, Akashi Medical Center</wicri:regionArea><wicri:noRegion>Akashi Medical Center</wicri:noRegion></affiliation></author><author><name sortKey="Ito, Madoka" sort="Ito, Madoka" uniqKey="Ito M" first="Madoka" last="Ito">Madoka Ito</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of General Internal Medicine, Akashi Medical Center, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of General Internal Medicine, Akashi Medical Center</wicri:regionArea><wicri:noRegion>Akashi Medical Center</wicri:noRegion></affiliation></author><author><name sortKey="Kinami, Saori" sort="Kinami, Saori" uniqKey="Kinami S" first="Saori" last="Kinami">Saori Kinami</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of General Internal Medicine, Akashi Medical Center, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of General Internal Medicine, Akashi Medical Center</wicri:regionArea><wicri:noRegion>Akashi Medical Center</wicri:noRegion></affiliation></author></analytic><series><title level="j">Internal Medicine</title><idno type="ISSN">0918-2918</idno><idno type="eISSN">1349-7235</idno><imprint><date 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paravertébraux</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Brain Diseases</term><term>Encephalitis</term><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Corpus Callosum</term><term>Paraspinal Muscles</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Influenza A virus</term><term>Magnetic Resonance Imaging</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Encéphalite</term><term>Encéphalopathies</term><term>Femelle</term><term>Grippe humaine</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Virus de la grippe A</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>We herein report the case of a 31-year-old Japanese woman who developed adult-onset clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) and presented with consciousness disorder and olfactory disturbance secondary to influenza A infection. The patient's neurological symptoms and the lesion in the splenium resolved within 14 days without therapy. Magnetic resonance images and the clinical course were consistent with a diagnosis of MERS; however, mental changes following the influenza infection always present a diagnostic dilemma for physicians. We considered various diagnoses, including viral encephalitis, medication-related encephalopathy, and MERS. A comprehensive assessment may be required to diagnose MERS, since it may mimic other neurological diseases, such as viral encephalitis and medication-related encephalopathy. </p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Toovey, S" uniqKey="Toovey S">S Toovey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bulakbasi, N" uniqKey="Bulakbasi N">N Bulakbasi</name></author><author><name sortKey="Kocaoglu, M" uniqKey="Kocaoglu M">M Kocaoglu</name></author><author><name sortKey="Tayfun, C" uniqKey="Tayfun C">C Tayfun</name></author><author><name sortKey="Ucoz, T" uniqKey="Ucoz T">T Ucoz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zhu, Y" uniqKey="Zhu Y">Y Zhu</name></author><author><name sortKey="Zheng, J" uniqKey="Zheng J">J Zheng</name></author><author><name sortKey="Zhang, L" uniqKey="Zhang L">L Zhang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wang, J" uniqKey="Wang J">J Wang</name></author><author><name sortKey="Stewart, E" uniqKey="Stewart E">E Stewart</name></author><author><name sortKey="Dapaah Afriyie, K" uniqKey="Dapaah Afriyie K">K Dapaah-Afriyie</name></author><author><name sortKey="Finn, A" uniqKey="Finn A">A Finn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tada, H" uniqKey="Tada H">H Tada</name></author><author><name sortKey="Takanashi, J" uniqKey="Takanashi J">J Takanashi</name></author><author><name sortKey="Barkovich, Aj" uniqKey="Barkovich A">AJ Barkovich</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hibino, M" uniqKey="Hibino M">M Hibino</name></author><author><name sortKey="Horiuchi, S" uniqKey="Horiuchi S">S Horiuchi</name></author><author><name sortKey="Okubo, Y" uniqKey="Okubo Y">Y Okubo</name></author><author><name sortKey="Kakutani, T" uniqKey="Kakutani T">T Kakutani</name></author><author><name sortKey="Ohe, M" uniqKey="Ohe M">M Ohe</name></author><author><name sortKey="Kondo, T" uniqKey="Kondo T">T Kondo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yokota, S" uniqKey="Yokota S">S Yokota</name></author><author><name sortKey="Imagawa, T" uniqKey="Imagawa T">T Imagawa</name></author><author><name sortKey="Miyamae, T" uniqKey="Miyamae T">T Miyamae</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Morimoto, K" uniqKey="Morimoto K">K Morimoto</name></author><author><name sortKey="Nagaoka, K" uniqKey="Nagaoka K">K Nagaoka</name></author><author><name sortKey="Nagai, A" uniqKey="Nagai A">A Nagai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kimura, E" uniqKey="Kimura E">E Kimura</name></author><author><name sortKey="Okamoto, S" uniqKey="Okamoto S">S Okamoto</name></author><author><name sortKey="Uchida, Y" uniqKey="Uchida Y">Y Uchida</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Takatsu, Hana" sort="Takatsu, Hana" uniqKey="Takatsu H" first="Hana" last="Takatsu">Hana Takatsu</name></noRegion><name sortKey="Ishimaru, Naoto" sort="Ishimaru, Naoto" uniqKey="Ishimaru N" first="Naoto" last="Ishimaru">Naoto Ishimaru</name><name sortKey="Ito, Madoka" sort="Ito, Madoka" uniqKey="Ito M" first="Madoka" last="Ito">Madoka Ito</name><name sortKey="Kinami, Saori" sort="Kinami, Saori" uniqKey="Kinami S" first="Saori" last="Kinami">Saori Kinami</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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