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Acute disseminated encephalomyelitis due to Sphingomonas paucimobilis meningitis
Author(s) -
Ohnmar Ohnmar,
Kyaw Myat,
Lwin Thandar
Publication year - 2021
Publication title -
neurology and clinical neuroscience
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
0ISSN - 2049-4173
DOI - 10.1111/ncn3.12531
Subject(s) - medicine , acute disseminated encephalomyelitis , sphingomonas paucimobilis , fluid attenuated inversion recovery , aseptic meningitis , meningitis , pathology , glasgow coma scale , hyperintensity , pleocytosis , cerebrospinal fluid , magnetic resonance imaging , surgery , radiology , disease , biology , bacteria , genetics
A 44‐year‐old man with end‐stage renal disease on regular hemodialysis presented with fever, loose motion, and confusion followed by coma. Screening for systemic infections was negative. MRI (Brain) showed multiple T2/FLAIR hyperintensities in the bilateral periventricular/subcortical regions involving corpus callosum and right cerebral peduncle with some restricted diffusions without abnormal enhancement suggestive of acute disseminated encephalomyelitis. Cerebrospinal fluid examination revealed normal protein, mildly reduced sugar and no pleocytosis but culture was Sphingomonas paucimobilis positive. Anti‐ MOG antibody was negative. He was treated with antibiotics according to sensitivity and high dose steroid. At one and a half month after steroid initiation, he has significantly improved to Glasgow Coma Scale 15. Brain MRI rechecked at 3 months showed significant improvement with no recurrence. Here, we report a rare case of Sphingomonas paucimobilis meningitis complicated with acute disseminated encephalomyelitis.