Rotavirus-associated mild encephalopathy with a reversible splenial lesion (MERS)-case report and review of the literature.
Identifieur interne : 001414 ( PubMed/Corpus ); précédent : 001413; suivant : 001415Rotavirus-associated mild encephalopathy with a reversible splenial lesion (MERS)-case report and review of the literature.
Auteurs : Konstantinos Karampatsas ; Christina Spyridou ; Ian R. Morrison ; Cheuk Y W. Tong ; Andrew J. PrendergastSource :
- BMC infectious diseases [ 1471-2334 ] ; 2015.
English descriptors
- KwdEn :
- Brain (diagnostic imaging), Brain Diseases (diagnosis), Brain Diseases (virology), Central Nervous System Infections (diagnosis), Central Nervous System Infections (virology), Child, Preschool, Corpus Callosum (diagnostic imaging), Diarrhea (etiology), Feces (virology), Fever (etiology), Gastroenteritis (diagnosis), Gastroenteritis (virology), Humans, Magnetic Resonance Imaging, Male, RNA, Viral (analysis), Radiography, Rotavirus (genetics), Rotavirus (isolation & purification).
- MESH :
- chemical , analysis : RNA, Viral.
- diagnosis : Brain Diseases, Central Nervous System Infections, Gastroenteritis.
- diagnostic imaging : Brain, Corpus Callosum.
- etiology : Diarrhea, Fever.
- genetics : Rotavirus.
- isolation & purification : Rotavirus.
- virology : Brain Diseases, Central Nervous System Infections, Feces, Gastroenteritis.
- Child, Preschool, Humans, Magnetic Resonance Imaging, Male, Radiography.
Abstract
Rotavirus is the most common cause of severe gastroenteritis in children under the age of 5 years worldwide. It is well recognised that rotavirus can cause signs and symptoms beyond the gastrointestinal tract, including neurological manifestations such as encephalopathy. Mild encephalopathy with a reversible splenial lesion (MERS) is a clinico-radiological syndrome that has been associated with rotavirus. We report a case of a 4-year-old boy with clinically mild encephalopathy, who had an isolated splenial lesion in the corpus callosum on neuroimaging, and rotavirus RNA detected in faeces. We use this case as an opportunity to review the literature on rotavirus-associated MERS.
DOI: 10.1186/s12879-015-1192-5
PubMed: 26499987
Links to Exploration step
pubmed:26499987Le document en format XML
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Morrison</name><affiliation><nlm:affiliation>Department of Paediatrics, The Royal London Hospital, Barts Health NHS Trust, London, UK. Ian.Morrison@bartshealth.nhs.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Tong, Cheuk Y W" sort="Tong, Cheuk Y W" uniqKey="Tong C" first="Cheuk Y W" last="Tong">Cheuk Y W. Tong</name><affiliation><nlm:affiliation>Department of Virology, The Royal London Hospital, Barts Health NHS Trust, London, UK. william.tong@bartshealth.nhs.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Prendergast, Andrew J" sort="Prendergast, Andrew J" uniqKey="Prendergast A" first="Andrew J" last="Prendergast">Andrew J. Prendergast</name><affiliation><nlm:affiliation>Department of Paediatrics, The Royal London Hospital, Barts Health NHS Trust, London, UK. a.prendergast@qmul.ac.uk.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:26499987</idno><idno type="pmid">26499987</idno><idno type="doi">10.1186/s12879-015-1192-5</idno><idno type="wicri:Area/PubMed/Corpus">001414</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001414</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Rotavirus-associated mild encephalopathy with a reversible splenial lesion (MERS)-case report and review of the literature.</title><author><name sortKey="Karampatsas, Konstantinos" sort="Karampatsas, Konstantinos" uniqKey="Karampatsas K" first="Konstantinos" last="Karampatsas">Konstantinos Karampatsas</name><affiliation><nlm:affiliation>Department of Paediatrics, The Royal London Hospital, Barts Health NHS Trust, London, UK. kostaskarab@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Spyridou, Christina" sort="Spyridou, Christina" uniqKey="Spyridou C" first="Christina" last="Spyridou">Christina Spyridou</name><affiliation><nlm:affiliation>Department of Paediatrics, The Royal London Hospital, Barts Health NHS Trust, London, UK. christinaspyridou@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Morrison, Ian R" sort="Morrison, Ian R" uniqKey="Morrison I" first="Ian R" last="Morrison">Ian R. Morrison</name><affiliation><nlm:affiliation>Department of Paediatrics, The Royal London Hospital, Barts Health NHS Trust, London, UK. Ian.Morrison@bartshealth.nhs.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Tong, Cheuk Y W" sort="Tong, Cheuk Y W" uniqKey="Tong C" first="Cheuk Y W" last="Tong">Cheuk Y W. Tong</name><affiliation><nlm:affiliation>Department of Virology, The Royal London Hospital, Barts Health NHS Trust, London, UK. william.tong@bartshealth.nhs.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Prendergast, Andrew J" sort="Prendergast, Andrew J" uniqKey="Prendergast A" first="Andrew J" last="Prendergast">Andrew J. Prendergast</name><affiliation><nlm:affiliation>Department of Paediatrics, The Royal London Hospital, Barts Health NHS Trust, London, UK. a.prendergast@qmul.ac.uk.</nlm:affiliation></affiliation></author></analytic><series><title level="j">BMC infectious diseases</title><idno type="eISSN">1471-2334</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Brain (diagnostic imaging)</term><term>Brain Diseases (diagnosis)</term><term>Brain Diseases (virology)</term><term>Central Nervous System Infections (diagnosis)</term><term>Central Nervous System Infections (virology)</term><term>Child, Preschool</term><term>Corpus Callosum (diagnostic imaging)</term><term>Diarrhea (etiology)</term><term>Feces (virology)</term><term>Fever (etiology)</term><term>Gastroenteritis (diagnosis)</term><term>Gastroenteritis (virology)</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>RNA, Viral (analysis)</term><term>Radiography</term><term>Rotavirus (genetics)</term><term>Rotavirus (isolation & purification)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>RNA, Viral</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Brain Diseases</term><term>Central Nervous System Infections</term><term>Gastroenteritis</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Brain</term><term>Corpus Callosum</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Diarrhea</term><term>Fever</term></keywords><keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Rotavirus</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Rotavirus</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Brain Diseases</term><term>Central Nervous System Infections</term><term>Feces</term><term>Gastroenteritis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child, Preschool</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Radiography</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Rotavirus is the most common cause of severe gastroenteritis in children under the age of 5 years worldwide. It is well recognised that rotavirus can cause signs and symptoms beyond the gastrointestinal tract, including neurological manifestations such as encephalopathy. Mild encephalopathy with a reversible splenial lesion (MERS) is a clinico-radiological syndrome that has been associated with rotavirus. We report a case of a 4-year-old boy with clinically mild encephalopathy, who had an isolated splenial lesion in the corpus callosum on neuroimaging, and rotavirus RNA detected in faeces. We use this case as an opportunity to review the literature on rotavirus-associated MERS.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">26499987</PMID><DateCompleted><Year>2016</Year><Month>05</Month><Day>09</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2334</ISSN><JournalIssue CitedMedium="Internet"><Volume>15</Volume><PubDate><Year>2015</Year><Month>Oct</Month><Day>24</Day></PubDate></JournalIssue><Title>BMC infectious diseases</Title><ISOAbbreviation>BMC Infect. Dis.</ISOAbbreviation></Journal><ArticleTitle>Rotavirus-associated mild encephalopathy with a reversible splenial lesion (MERS)-case report and review of the literature.</ArticleTitle><Pagination><MedlinePgn>446</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12879-015-1192-5</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Rotavirus is the most common cause of severe gastroenteritis in children under the age of 5 years worldwide. It is well recognised that rotavirus can cause signs and symptoms beyond the gastrointestinal tract, including neurological manifestations such as encephalopathy. Mild encephalopathy with a reversible splenial lesion (MERS) is a clinico-radiological syndrome that has been associated with rotavirus. We report a case of a 4-year-old boy with clinically mild encephalopathy, who had an isolated splenial lesion in the corpus callosum on neuroimaging, and rotavirus RNA detected in faeces. We use this case as an opportunity to review the literature on rotavirus-associated MERS.</AbstractText><AbstractText Label="CASE PRESENTATION" NlmCategory="METHODS">A previously healthy 4-year-old boy presented with a 2-day history of vomiting, diarrhoea, and fever, complicated by reduced level of consciousness. Magnetic resonance imaging of the brain showed a marked hyperintensity in the splenium of the corpus callosum on T2 and diffusion-weighted images. Rotavirus genome was detected by polymerase chain reaction in a stool specimen, but not in the cerebrospinal fluid. The genotype was identified as G1P8. His clinical condition improved with gradual resolution of his symptoms. No neurological complications were evident upon discharge and the patient had no recurring symptoms or significant residual defects when followed up 2 months later.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">MERS is a novel clinic-radiological syndrome first described in Japan. A transient splenial lesion with reduced diffusion that appears as a high signal intensity in diffusion-weighted MRI is the main diagnostic feature. Rotavirus is one of the most common agents associated with MERS, although to our knowledge only one previous case has been reported from Europe. The majority of patients appear to achieve full recovery following rotavirus-associated MERS, irrespective of treatment. This case, together with other published reports, supports the hypothesis that rotavirus-associated MERS is unlikely to be the result of direct viral invasion of the CNS. It has been suggested that MERS may be caused by intra-myelinic axonal oedema or local inflammatory cell infiltration; however, the pathogenesis remains incompletely understood.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Karampatsas</LastName><ForeName>Konstantinos</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Paediatrics, The Royal London Hospital, Barts Health NHS Trust, London, UK. kostaskarab@gmail.com.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Queen's Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, Romford, UK. kostaskarab@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Spyridou</LastName><ForeName>Christina</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Paediatrics, The Royal London Hospital, Barts Health NHS Trust, London, UK. christinaspyridou@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Morrison</LastName><ForeName>Ian R</ForeName><Initials>IR</Initials><AffiliationInfo><Affiliation>Department of Paediatrics, The Royal London Hospital, Barts Health NHS Trust, London, UK. Ian.Morrison@bartshealth.nhs.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tong</LastName><ForeName>Cheuk Y W</ForeName><Initials>CY</Initials><AffiliationInfo><Affiliation>Department of Virology, The Royal London Hospital, Barts Health NHS Trust, London, UK. william.tong@bartshealth.nhs.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Prendergast</LastName><ForeName>Andrew J</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Department of Paediatrics, The Royal London Hospital, Barts Health NHS Trust, London, UK. a.prendergast@qmul.ac.uk.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Paediatrics, Blizard Institute, Queen Mary University of London, London, UK. a.prendergast@qmul.ac.uk.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>100714</GrantID><Agency>Wellcome Trust</Agency><Country>United 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