Diagnostic Challenges in a Nine-year-old Boy with ADEM and Longitudinal Extensive Transverse Myelitis
Title: | Diagnostic Challenges in a Nine-year-old Boy with ADEM and Longitudinal Extensive Transverse Myelitis |
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Authors: | Emine Akkuzu, Mutlu Uysal Yazıcı, Ebru Azapağası, Tuğba Hirfanoğlu, Betül Derinkuyu, Hasan Tezer |
Source: | Journal of Pediatric Emergency and Intensive Care Medicine, Vol 11, Iss 2, Pp 137-140 (2024) |
Publisher Information: | Galenos Yayinevi, 2024. |
Publication Year: | 2024 |
Collection: | LCC:Medicine LCC:Pediatrics LCC:Medical emergencies. Critical care. Intensive care. First aid |
Subject Terms: | adem, adenovirus, covid-19, transverse myelitis, children, rituximab, Medicine, Pediatrics, RJ1-570, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
More Details: | Acute disseminated encephalomyelitis (ADEM), or postinfectious encephalomyelitis, is a demyelinating central nervous system disease that typically presents with multifocal neurologic symptoms and encephalopathy. Numerous pathogens have been associated with ADEM, and the implicated viruses include coronavirus, coxsackie, cytomegalovirus, Epstein-Barr, herpes simplex, hepatitis A, HIV, influenza, measles, rubella, varicella zoster, and adenovirus. Although severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection has been associated with ADEM, the incidence is quite low. We present the case of a 9-year-old boy with ADEM plus longitudinal extensive myelitis who had a SARS-CoV-2 infection history and acute adenovirus infection. We evaluated the diagnosis and treatment challenges. Although our patient had severe neurological respiratory failure requiring intubation and tetraplegic flaccid paralysis, he had a total recovery before hospital discharge. |
Document Type: | article |
File Description: | electronic resource |
Language: | English Turkish |
ISSN: | 2146-2399 2148-7332 |
Relation: | https://doaj.org/toc/2146-2399; https://doaj.org/toc/2148-7332 |
DOI: | 10.4274/cayd.galenos.2024.45087 |
Access URL: | https://doaj.org/article/2aca5052d4164a8c8fa28470415379fc |
Accession Number: | edsdoj.2aca5052d4164a8c8fa28470415379fc |
Database: | Directory of Open Access Journals |
ISSN: | 21462399 21487332 |
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DOI: | 10.4274/cayd.galenos.2024.45087 |
Published in: | Journal of Pediatric Emergency and Intensive Care Medicine |
Language: | English Turkish |