Influenza-associated acute necrotizing encephalitis : unknown makes undertreated?
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:167 |
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| Enthalten in: |
Nederlands tijdschrift voor geneeskunde - 167(2023) vom: 23. Nov. |
| Sprache: |
Niederländisch |
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| Weiterer Titel: |
Influenza-geassocieerde acute necrotiserende encefalitis |
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| Beteiligte Personen: |
Huijsmans, Roel L N [VerfasserIn] |
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| Themen: |
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| Anmerkungen: |
Date Completed 05.01.2024 Date Revised 19.03.2024 published: Electronic Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| 500 | |a Date Revised 19.03.2024 | ||
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Influenza-associated acute necrotizing encephalitis (ANE) is a very rare, but severe complication from influenza infection | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
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| 700 | 1 | |a Fokke, Christiaan |e verfasserin |4 aut | |
| 700 | 1 | |a Lo Ten Foe, Jerome R |e verfasserin |4 aut | |
| 700 | 1 | |a Kuindersma, Marnix |e verfasserin |4 aut | |
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