An atypical case of acute disseminated encephalomyelitis associated with cytomegalovirus infection

Massimiliano Mirabella, Chiara De Fino, Viviana Nociti, Anna Modoni, Alessandra Bizzarro

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

We present the case of a young man admitted to our hospital for persistent headache associated with fever, retrorbitary pain and vomiting, who rapidly developed encephalopathy with drowsiness, paraplegia, hypoesthesia with a D6 sensory level and urinary retention. Brain and spinal cord MRI revealed findings compatible with acute disseminated encephalomyelitis (ADEM) and microbiological tests documented a cytomegalovirus (CMV) infection. CMV infection is extraordinarily associated with ADEM, but must be included in microbiological tests, because early diagnosis and treatment ameliorate the neurological outcome.
Original languageEnglish
Pages (from-to)70-2-72
Number of pages3
JournalMultiple Sclerosis and Related Disorders
Volume5
DOIs
Publication statusPublished - 2016

Keywords

  • ADEM
  • CMV
  • IVIg
  • MRI
  • Spinal cord

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