tetano
Editor, Senior Moderator
Intern Med. 2017 Sep 25. doi: 10.2169/internalmedicine.8997-17. [Epub ahead of print]
[h=1]Mild Encephalitis/Encephalopathy with a Reversible Splenial Lesion in an Adult Patient with Influenza.[/h] Takatsu H[SUP]1[/SUP], Ishimaru N[SUP]1[/SUP], Ito M[SUP]1[/SUP], Kinami S[SUP]1[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] 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.
[h=4]KEYWORDS:[/h] influenza; mild encephalitis/encephalopathy with a reversible splenial lesion; olfactory disorder
PMID: 28943565 DOI: 10.2169/internalmedicine.8997-17
[h=1]Mild Encephalitis/Encephalopathy with a Reversible Splenial Lesion in an Adult Patient with Influenza.[/h] Takatsu H[SUP]1[/SUP], Ishimaru N[SUP]1[/SUP], Ito M[SUP]1[/SUP], Kinami S[SUP]1[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] 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.
[h=4]KEYWORDS:[/h] influenza; mild encephalitis/encephalopathy with a reversible splenial lesion; olfactory disorder
PMID: 28943565 DOI: 10.2169/internalmedicine.8997-17