Acute Disseminated Encephalomyelitis Developed after Mycoplasma Pneumoniae Infection Complicating Subclinical Measles Infection
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概要
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A 26-year-old man developed acute disseminated encephalomyelitis (ADEM) after Mycoplasma pneumoniae infection, and was admitted after developing disturbed consciousness. Magnetic resonance images revealed lesions in the midbrain, bilateral internal capsules, left corona radiata, white matter of the left occipital lobe, and thoracic spinal cord. He was diagnosed with subclinical measles infection since no anthema was observed despite the fact that his serum and cerebrospinal fluid samples were positive for measles IgM antibodies. ADEM following mixed infection with measles and M. pneumoniae is rare, and it is not clear whether an additional infection with measles influenced the onset of ADEM after M. pneumoniae infection. Symptoms did not improve with steroid or immunoglobulin treatment, but improvement in symptoms was observed after plasmapheresis.
著者
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Katayama Yasuo
日本医科大学 第二内科学教室(神経内科･腎臓内科)
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Hagiwara Hiroshi
Divisions of Neurology, Nephrology, and Rheumatology, Department of Internal Medicine, Nippon Medica
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Sakamoto Shizuki
Divisions of Neurology, Nephrology, and Rheumatology, Department of Internal Medicine, Nippon Medica
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Katsumata Toshiya
Divisions of Neurology, Nephrology, and Rheumatology, Department of Internal Medicine, Nippon Medica
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Katayama Yasuo
Divisions of Neurology, Nephrology, and Rheumatology, Department of Internal Medicine, Nippon Medica
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Katayama Yasuo
Division Of Cyclotron Nuclear Medicine Cyclotron And Radioisotope Center Tohoku University
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KATAYAMA Yasuo
Divisions of Neurology, Nephrology, and Rheumatology, Department of Internal Medicine, Nippon Medical School
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- Acute Disseminated Encephalomyelitis Developed after Mycoplasma Pneumoniae Infection Complicating Subclinical Measles Infection
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