Acute disseminated encephalomyelitis following Saint Louis encephalitis virus infection

We present a case of a 55-year-old man hailing from Manaus, a city situated in the heart of theAmazon Rainforest, who exhibited symptoms of vertigo, tremors, urinary and fecal retention, compromised gait, and encephalopathy 3  weeks following SLEV infection. Neuroaxis MRI revealed diffuse, asymmetric, and poorly defined margins hyperintense lesions with peripheral and ring enhancement in subcortical white matter, as well as severe spinal cord involvement. Serology for SLEV was positive both on serum and cerebrospinal fl uid. To the best of our knowledge, the present report is the first to show brain lesions along with myelitis as a post-infectious complication of SLEV infection.
Source: Neurological Sciences - Category: Neurology Source Type: research