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Mild encephalitis/encephalopathy with a reversible splenial lesion associated with respiratory syncytial virus infection in infants

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机构: [1]Department of Intensive Care Unit, Jining No. 1 People’s Hospital, Jining 272000, China [2]Department of Neurology , Xuanwu Hospital Capital Medical University , 100053 Beijing, China [3]Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden [4]Department of Neurology, Jining No. 1 People’s Hospital, Jining 272000, China [5]Department of Neurology, The First Afliated Hospital of Dalian Medical University, 116011 Dalian, China
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关键词: Mild encephalitis Encephalopathy with reversible splenial lesion Respiratory syncytial virus Infant Splenium of corpus callosum Apnea

摘要:
Mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) is a clinicoradiologic syndrome typically characterized by transient mild encephalitis or encephalopathy with reversible lesions being found in the splenium of corpus callosum (SCC) by magnetic resonance imaging (MRI). A variety of pathogens including influenza virus, rotavirus, and adenovirus associated with MERS have been reported. However, respiratory syncytial virus (RSV)-related MERS is relatively rare in infants. In this study, we report two Chinese infants who suffered from RSV-related MERS. Both infants manifested as fever, seizure, and altered states of consciousness with confirmed detections of RSV-RNA in the specimens from throat swab. Clinical symptoms/signs such as apnea and shallow breathing were also noted in these two infants. Furthermore, brain MRI images indicated reversible isolated lesions with transiently reduced diffusion in the SCC. Fortunately, both of these two infants recovered completely following treatment within a month. Our study suggests that RSV may serve as a novel causative agent for MERS in infants. Clinicians should focus more attention on RSV-related MERS in infants in order to improve early accurate diagnosis and therapeutic decision making.

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出版当年[2020]版:
大类 | 3 区 医学
小类 | 4 区 神经科学 4 区 病毒学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 神经科学 4 区 病毒学
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出版当年[2019]版:
Q3 VIROLOGY Q3 NEUROSCIENCES
最新[2023]版:
Q3 NEUROSCIENCES Q3 VIROLOGY

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第一作者机构: [1]Department of Intensive Care Unit, Jining No. 1 People’s Hospital, Jining 272000, China
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