[Influenza-associated acute necrotizing encephalitis: unknown makes undertreated?]

Autor:	Huijsmans RLN; Gelre ziekenhuizen, Apeldoorn en Zutphen. Afd. Intensive Care., Braber A; Gelre ziekenhuizen, Apeldoorn en Zutphen. Afd. Intensive Care., Fokke C; Gelre ziekenhuizen, Apeldoorn en Zutphen. Afd. Neurologie., Lo Ten Foe JR; Gelre ziekenhuizen, Apeldoorn en Zutphen. Afd. MedischeMicrobiologieenInfectiepreventie., Kuindersma M; Gelre ziekenhuizen, Apeldoorn en Zutphen. Afd. Intensive Care.; Contact: Marnix Kuindersma (m.kuindersma@gelre.nl).
Jazyk:	Dutch; Flemish
Zdroj:	Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2023 Nov 23; Vol. 167. Date of Electronic Publication: 2023 Nov 23.
Abstrakt:	Background: Influenza-associated acute necrotizing encephalitis (ANE) is a very rare, but severe complication from influenza infection. Case Description: We present a 48 year old male who presented with fever, malaise, confusion and altered mental status (E4M5V2) and influenza A infection. He quickly develops convulsions after which he is intubated and admitted to the Intensive Care Unit following which he remains comatose (E1M1V1). The diagnosis of influenza associated acute necrotizing encephalitis is made based on his neurological symptoms, generalized slowing on electro-encephalogram, classic bilateral findings on MRI in the thalamus and basal ganglia and proven influenza infection in the cerebrospinal fluid. Conclusion: Acute necrotising encephalitis is a severe complication from a common infection. It is advised to consider early MRI imaging in patients with influenza and fitting neurological symptoms and to consider treatment with corticosteroids.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu