Hagiya, Hideharu and Otsuka, Fumio (2022) Adult-onset Mild Encephalitis/Encephalopathy with a Reversible Splenial Lesion Induced by MRSA Endocarditis. European Journal of Case Reports in Internal Medicine, 9 (2). pp. 1-2. ISSN 2284-2594
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Abstract
Background: Mild encephalitis/encephalopathy and a reversible splenial lesion (MERS) is a clinicoradiological syndrome with an unknown pathogenic mechanism, which usually involves children. Thus, adult-onset MERS is quite rare.Case presentation: A 71-year-old man, undergoing haemodialysis due to diabetes-induced chronic kidney disease, manifested a persistent fever and disorientation. Blood culture detected methicillin-resistant Staphylococcus aureus (MRSA), while echocardiography revealed vegetation in the aortic and mitral valves. Magnetic resonance imaging of the head revealed a fluid-attenuated inversion recovery-high, diffusion-weighted image-high lesion in the splenium of the corpus callosum, with a number of emboli. Accordingly, the patient was diagnosed with MERS induced by MRSA endocarditis.Discussion: Neurological impairment by MERS can be reversible. However, the differential diagnosis of the disease includes ischaemic lesions, multiple sclerosis, malignant lymphoma, acute disseminated encephalomyelitis, and posterior reversible encephalopathy. Clinicians should consider these diseases when MERS is suspected.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Bacteraemia, corpus callosum, infective endocarditis, mild encephalitis/encephalopathy with a reversible splenial lesion, Staphylococcus aureus |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 610.28 Medicina e salute - Tecniche e procedure ausiliarie, attrezzature, materiali (Classificare qui le opere d'insieme sull'Ingegneria biomedica) > 610.285 Medicina e salute - Elaborazione dei dati, applicazione degli eleboratori |
| Depositing User: | Marina Spanti |
| Date Deposited: | 14 Apr 2022 12:28 |
| Last Modified: | 14 Apr 2022 12:28 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/21788 |
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