Open AccessMeasles-induced Acute Disseminated Encephalomyelitis in a Non-vaccinated Patient
Author(s) -
Deeba Ali,
Arnaud Detroz,
Yilmaz Gorur,
Lionel Bosquée,
Noël Lorenzo Villalba,
Benoît Cardos
Publication year - 2020
Publication title -
european journal of case reports in internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
H-Index - 1
ISSN - 2284-2594
DOI - 10.12890/2020_001331
Subject(s) - medicine , measles , acute disseminated encephalomyelitis , rash , pediatrics , serology , myelitis , meningitis , lumbar puncture , encephalomyelitis , altered mental status , immunology , vaccination , multiple sclerosis , dermatology , antibody , spinal cord , psychiatry , cerebrospinal fluid
We reported a case of measles-induced acute disseminated encephalomyelitis (ADEM) in a 40-year-old immunocompetent adult. The patient presented a week after the development of respiratory symptoms and a cutaneous rash, and was admitted to hospital for altered mental status. Blood tests showed hyperleukocytosis, thrombopenia and cytolysis. A lumbar puncture was consistent with acute meningitis and the patient was initially treated with antiviral and wide broad-spectrum antibiotics. Serology and PCR for measles came back positive.