Mild encephalitis/encephalopathy with a reversible splenial lesion due to Plasmodium falciparum malaria: a case report.
Identifieur interne : 000738 ( PubMed/Corpus ); précédent : 000737; suivant : 000739Mild encephalitis/encephalopathy with a reversible splenial lesion due to Plasmodium falciparum malaria: a case report.
Auteurs : Momoko Mawatari ; Tetsuro Kobayashi ; Shinya Yamamoto ; Nozomi Takeshita ; Kayoko Hayakawa ; Satoshi Kutsuna ; Norio Ohmagari ; Tomoyuki Noguchi ; Yasuyuki KatoSource :
- Tropical medicine and health [ 1348-8945 ] ; 2018.
Abstract
Neurological complications from malaria cause significant morbidity and mortality. Severe cerebral malaria occurs as a result of intense sequestration of infected erythrocytes in the cerebral capillaries. However, the pathology of the reversible neurological symptoms remains unclear. We report the case of a patient with malaria who also had mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) causing transient neurological symptoms.
DOI: 10.1186/s41182-018-0119-4
PubMed: 30410417
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Mild encephalitis/encephalopathy with a reversible splenial lesion due to <i>Plasmodium falciparum</i> malaria: a case report.</title><author><name sortKey="Mawatari, Momoko" sort="Mawatari, Momoko" uniqKey="Mawatari M" first="Momoko" last="Mawatari">Momoko Mawatari</name><affiliation><nlm:affiliation>1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Kobayashi, Tetsuro" sort="Kobayashi, Tetsuro" uniqKey="Kobayashi T" first="Tetsuro" last="Kobayashi">Tetsuro Kobayashi</name><affiliation><nlm:affiliation>3Department of Hygiene, Graduate School of Medicine, Hokkaido University, Sapporo, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Yamamoto, Shinya" sort="Yamamoto, Shinya" uniqKey="Yamamoto S" first="Shinya" last="Yamamoto">Shinya Yamamoto</name><affiliation><nlm:affiliation>5General Internal Medicine, Shonan Kamakura General Hospital, Kamakura, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Takeshita, Nozomi" sort="Takeshita, Nozomi" uniqKey="Takeshita N" first="Nozomi" last="Takeshita">Nozomi Takeshita</name><affiliation><nlm:affiliation>1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Hayakawa, Kayoko" sort="Hayakawa, Kayoko" uniqKey="Hayakawa K" first="Kayoko" last="Hayakawa">Kayoko Hayakawa</name><affiliation><nlm:affiliation>1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Kutsuna, Satoshi" sort="Kutsuna, Satoshi" uniqKey="Kutsuna S" first="Satoshi" last="Kutsuna">Satoshi Kutsuna</name><affiliation><nlm:affiliation>1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Ohmagari, Norio" sort="Ohmagari, Norio" uniqKey="Ohmagari N" first="Norio" last="Ohmagari">Norio Ohmagari</name><affiliation><nlm:affiliation>1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Noguchi, Tomoyuki" sort="Noguchi, Tomoyuki" uniqKey="Noguchi T" first="Tomoyuki" last="Noguchi">Tomoyuki Noguchi</name><affiliation><nlm:affiliation>6Department of Radiology, National Center for Global Health and Medicine, Tokyo, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Kato, Yasuyuki" sort="Kato, Yasuyuki" uniqKey="Kato Y" first="Yasuyuki" last="Kato">Yasuyuki Kato</name><affiliation><nlm:affiliation>1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2018">2018</date><idno type="RBID">pubmed:30410417</idno><idno type="pmid">30410417</idno><idno type="doi">10.1186/s41182-018-0119-4</idno><idno type="wicri:Area/PubMed/Corpus">000738</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000738</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Mild encephalitis/encephalopathy with a reversible splenial lesion due to <i>Plasmodium falciparum</i> malaria: a case report.</title><author><name sortKey="Mawatari, Momoko" sort="Mawatari, Momoko" uniqKey="Mawatari M" first="Momoko" last="Mawatari">Momoko Mawatari</name><affiliation><nlm:affiliation>1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Kobayashi, Tetsuro" sort="Kobayashi, Tetsuro" uniqKey="Kobayashi T" first="Tetsuro" last="Kobayashi">Tetsuro Kobayashi</name><affiliation><nlm:affiliation>3Department of Hygiene, Graduate School of Medicine, Hokkaido University, Sapporo, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Yamamoto, Shinya" sort="Yamamoto, Shinya" uniqKey="Yamamoto S" first="Shinya" last="Yamamoto">Shinya Yamamoto</name><affiliation><nlm:affiliation>5General Internal Medicine, Shonan Kamakura General Hospital, Kamakura, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Takeshita, Nozomi" sort="Takeshita, Nozomi" uniqKey="Takeshita N" first="Nozomi" last="Takeshita">Nozomi Takeshita</name><affiliation><nlm:affiliation>1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Hayakawa, Kayoko" sort="Hayakawa, Kayoko" uniqKey="Hayakawa K" first="Kayoko" last="Hayakawa">Kayoko Hayakawa</name><affiliation><nlm:affiliation>1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Kutsuna, Satoshi" sort="Kutsuna, Satoshi" uniqKey="Kutsuna S" first="Satoshi" last="Kutsuna">Satoshi Kutsuna</name><affiliation><nlm:affiliation>1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Ohmagari, Norio" sort="Ohmagari, Norio" uniqKey="Ohmagari N" first="Norio" last="Ohmagari">Norio Ohmagari</name><affiliation><nlm:affiliation>1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Noguchi, Tomoyuki" sort="Noguchi, Tomoyuki" uniqKey="Noguchi T" first="Tomoyuki" last="Noguchi">Tomoyuki Noguchi</name><affiliation><nlm:affiliation>6Department of Radiology, National Center for Global Health and Medicine, Tokyo, Japan.</nlm:affiliation></affiliation></author><author><name sortKey="Kato, Yasuyuki" sort="Kato, Yasuyuki" uniqKey="Kato Y" first="Yasuyuki" last="Kato">Yasuyuki Kato</name><affiliation><nlm:affiliation>1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Tropical medicine and health</title><idno type="ISSN">1348-8945</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Neurological complications from malaria cause significant morbidity and mortality. Severe cerebral malaria occurs as a result of intense sequestration of infected erythrocytes in the cerebral capillaries. However, the pathology of the reversible neurological symptoms remains unclear. We report the case of a patient with malaria who also had mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) causing transient neurological symptoms.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">30410417</PMID><DateRevised><Year>2019</Year><Month>11</Month><Day>20</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">1348-8945</ISSN><JournalIssue CitedMedium="Print"><Volume>46</Volume><PubDate><Year>2018</Year></PubDate></JournalIssue><Title>Tropical medicine and health</Title><ISOAbbreviation>Trop Med Health</ISOAbbreviation></Journal><ArticleTitle>Mild encephalitis/encephalopathy with a reversible splenial lesion due to <i>Plasmodium falciparum</i> malaria: a case report.</ArticleTitle><Pagination><MedlinePgn>37</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s41182-018-0119-4</ELocationID><Abstract><AbstractText Label="Background" NlmCategory="UNASSIGNED">Neurological complications from malaria cause significant morbidity and mortality. Severe cerebral malaria occurs as a result of intense sequestration of infected erythrocytes in the cerebral capillaries. However, the pathology of the reversible neurological symptoms remains unclear. We report the case of a patient with malaria who also had mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) causing transient neurological symptoms.</AbstractText><AbstractText Label="Case presentation" NlmCategory="UNASSIGNED">A 55-year-old Japanese man was admitted to our hospital with acute fever upon returning from Nigeria. Blood smears and PCR analysis revealed ring forms in the erythrocytes, indicative of <i>Plasmodium falciparum</i> infection. He presented with dysarthria, expressive aphasia, and truncal ataxia, all of which were suggestive of cerebellar ataxia. He had no other signs or symptoms of severe malaria. Artemether/lumefantrine was started on the first day of illness. Although the parasites were undetectable on day 3 of illness, his neurological symptoms persisted. Brain magnetic resonance imaging (MRI) demonstrated a high-signal lesion in the splenium of the corpus callosum on diffusion-weighted images along with a decreased apparent diffusion coefficient. The neurological symptoms gradually improved by day 12. Brain MRI on day 16 showed complete regression of the splenic lesion. Therefore, the patient was diagnosed with MERS due to malaria.</AbstractText><AbstractText Label="Conclusions" NlmCategory="UNASSIGNED">MERS often causes transient headaches, seizures, and/or impaired consciousness. The symptoms are compatible with the reversible symptoms of cerebral malaria.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mawatari</LastName><ForeName>Momoko</ForeName><Initials>M</Initials><Identifier Source="ORCID">0000-0002-8953-5962</Identifier><AffiliationInfo><Affiliation>1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.</Affiliation><Identifier Source="ISNI">0000 0004 0489 0290</Identifier><Identifier Source="GRID">grid.45203.30</Identifier></AffiliationInfo><AffiliationInfo><Affiliation>2Infection Control and Prevention Center, Gunma University Hospital, 3-39-15, Showa-machi, Maebashi, Gunma 371-8511 Japan.</Affiliation><Identifier Source="ISNI">0000 0004 0595 7039</Identifier><Identifier Source="GRID">grid.411887.3</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kobayashi</LastName><ForeName>Tetsuro</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>3Department of Hygiene, Graduate School of Medicine, Hokkaido University, Sapporo, Japan.</Affiliation><Identifier Source="ISNI">0000 0001 2173 7691</Identifier><Identifier Source="GRID">grid.39158.36</Identifier></AffiliationInfo><AffiliationInfo><Affiliation>4Division of Epidemiology and Biostatistics, School of Public Health, Georgia State University, Atlanta, USA.</Affiliation><Identifier Source="ISNI">0000 0004 1936 7400</Identifier><Identifier Source="GRID">grid.256304.6</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yamamoto</LastName><ForeName>Shinya</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>5General Internal Medicine, Shonan Kamakura General Hospital, Kamakura, Japan.</Affiliation><Identifier Source="ISNI">0000 0004 0377 3017</Identifier><Identifier Source="GRID">grid.415816.f</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Takeshita</LastName><ForeName>Nozomi</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.</Affiliation><Identifier Source="ISNI">0000 0004 0489 0290</Identifier><Identifier Source="GRID">grid.45203.30</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hayakawa</LastName><ForeName>Kayoko</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.</Affiliation><Identifier Source="ISNI">0000 0004 0489 0290</Identifier><Identifier Source="GRID">grid.45203.30</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kutsuna</LastName><ForeName>Satoshi</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.</Affiliation><Identifier Source="ISNI">0000 0004 0489 0290</Identifier><Identifier Source="GRID">grid.45203.30</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ohmagari</LastName><ForeName>Norio</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.</Affiliation><Identifier Source="ISNI">0000 0004 0489 0290</Identifier><Identifier Source="GRID">grid.45203.30</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Noguchi</LastName><ForeName>Tomoyuki</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>6Department of Radiology, National Center for Global Health and Medicine, Tokyo, Japan.</Affiliation><Identifier Source="ISNI">0000 0004 0489 0290</Identifier><Identifier Source="GRID">grid.45203.30</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kato</LastName><ForeName>Yasuyuki</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.</Affiliation><Identifier Source="ISNI">0000 0004 0489 0290</Identifier><Identifier Source="GRID">grid.45203.30</Identifier></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>11</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>Japan</Country><MedlineTA>Trop Med Health</MedlineTA><NlmUniqueID>101215093</NlmUniqueID><ISSNLinking>1348-8945</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Cerebral malaria</Keyword><Keyword MajorTopicYN="N">Magnetic resonance imaging</Keyword><Keyword MajorTopicYN="N">Mild encephalitis/encephalopathy with a reversible splenial lesion</Keyword></KeywordList><CoiStatement>Not applicable.Written informed consent for publication was obtained from the patient.The authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>08</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>10</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>11</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>11</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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