Overlapping Epstein-Barr virus encephalitis and autoimmune glial fibrillary acidic protein astrocytopathy

Copyright © 2023. Published by Elsevier B.V..

We describe three cases of overlapping Epstein-Barr virus (EBV) Encephalitis and Autoimmune Glial Fibrillary Acidic Protein Astrocytopathy (GFAP-A). The three cases all presented with initial symptoms of fever, headache, coma, and posture tremor of the upper limbs, then followed by limb weakness and dysuria. All of the three cases were on ventilators. Case 1 and 2 improved dramatically after intravenous methylprednisoloneand immunoglobulin treatment. However, case 3 presented dyspneic, and died from gastrointestinal hemorrhage. The GFAP-A triggered by EBV intracranial infection could initially masquerade as EBV encephalitis only, and the detection of GFAP antibody is essential for differentiation.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:382

Enthalten in:

Journal of neuroimmunology - 382(2023) vom: 15. Sept., Seite 578174

Sprache:

Englisch

Beteiligte Personen:

Zhang, Jin-Ru [VerfasserIn]
Zhuang, Sheng [VerfasserIn]
Xu, Xiao-Dong [VerfasserIn]
Song, Wen-Li [VerfasserIn]
Li, Ke-Ru [VerfasserIn]
Jiang, Yu [VerfasserIn]
Cheng, Xiao-Yu [VerfasserIn]
Shi, Ji-Jun [VerfasserIn]
Hu, Wei-Dong [VerfasserIn]
Liu, Chun-Feng [VerfasserIn]
Zhang, Yan-Lin [VerfasserIn]

Links:

Volltext

Themen:

Acute disseminated encephalomyelitis
Antibodies
Autoantibodies
Autoimmune glial fibrillary acidic protein astrocytopathy
Epstein-Barr virus encephalitis
Glial Fibrillary Acidic Protein
Glucocorticoids
Immunoglobulins, Intravenous
Journal Article
Methylprednisolone
Research Support, Non-U.S. Gov't
X4W7ZR7023

Anmerkungen:

Date Completed 03.10.2023

Date Revised 03.10.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jneuroim.2023.578174

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360731228