Cardiopulmonary failure as a result of brainstem encephalitis caused by enterovirus D68.
BMJ Case Rep
; 12(11)2019 Nov 14.
Article
em En
| MEDLINE
| ID: mdl-31732545
ABSTRACT
Enterovirus D68 (EV-D68) causes respiratory illnesses such as pneumonia, and has been reported to cause acute flaccid myelitis. Enterovirus A71 (EV-A71) is known to cause cardiopulmonary failure due to brainstem encephalitis, but there have been few reports of these conditions being associated with EV-D68. Outbreaks of EV-D68 infection have occurred in the USA, Canada, Europe and Asia. Clinical management is largely supportive and there are no specific antivirals available. The case patient, a 4-year-old girl, had cardiopulmonary failure due to brainstem encephalitis. EV-D68 was isolated from a throat swab. On admission, she had cardiopulmonary failure, which required intensive care using a ventilator and inotropic agents. Her cardiac function improved, but she had residual bulbar paralysis and limb weakness, which resolved over a 6-month period. This case confirms that EV-D68, may cause severe illness due to brainstem encephalitis, similar to that caused by EV-A71.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Insuficiência Respiratória
/
Tronco Encefálico
/
Encefalite Viral
/
Enterovirus Humano D
/
Infecções por Enterovirus
/
Insuficiência Cardíaca
Limite:
Child, preschool
/
Female
/
Humans
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article