Epstein-Barr Virus Encephalitis in an Immunocompetent Child: A Case Report and Management of Epstein-Barr Virus Encephalitis

Epstein-Barr virus (EBV) usually causes mild, asymptomatic, and self-limited infections in children and adults; however, it may occasionally lead to severe conditions such as neurological diseases, malignant diseases, hepatic failure, and myocarditis. Epstein-Barr virus-related neurological disorder...

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Main Authors: Gulsen Akkoc, Eda Kepenekli Kadayifci, Ayse Karaaslan, Serkan Atici, Nurhayat Yakut, Sevliya Ocal Demir, Ahmet Soysal, Mustafa Bakir
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2016/7549252
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author Gulsen Akkoc
Eda Kepenekli Kadayifci
Ayse Karaaslan
Serkan Atici
Nurhayat Yakut
Sevliya Ocal Demir
Ahmet Soysal
Mustafa Bakir
author_facet Gulsen Akkoc
Eda Kepenekli Kadayifci
Ayse Karaaslan
Serkan Atici
Nurhayat Yakut
Sevliya Ocal Demir
Ahmet Soysal
Mustafa Bakir
author_sort Gulsen Akkoc
collection DOAJ
description Epstein-Barr virus (EBV) usually causes mild, asymptomatic, and self-limited infections in children and adults; however, it may occasionally lead to severe conditions such as neurological diseases, malignant diseases, hepatic failure, and myocarditis. Epstein-Barr virus-related neurological disorders include meningitis, encephalitis, and cranial or peripheral neuritis, which are mostly seen in immunocompromised patients. The therapeutic modalities for EBV-related severe organ damage including central nervous system manifestations are still uncertain. Herein, we describe a seven-year-old boy with EBV encephalitis who presented with prolonged fever, exudative pharyngitis, reduced consciousness, and neck stiffness. Cranial magnetic resonance imaging showed contrast enhancement in the bilateral insular cortex and the right hypothalamus. The diagnosis was made by EBV-DNA amplification in both the blood and cerebrospinal fluid samples. He was discharged with acyclovir therapy without any sequelae.
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institution Kabale University
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publishDate 2016-01-01
publisher Wiley
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series Case Reports in Infectious Diseases
spelling doaj-art-577ac6c099014bd186c0cddf7e4346f02025-02-03T05:47:01ZengWileyCase Reports in Infectious Diseases2090-66252090-66332016-01-01201610.1155/2016/75492527549252Epstein-Barr Virus Encephalitis in an Immunocompetent Child: A Case Report and Management of Epstein-Barr Virus EncephalitisGulsen Akkoc0Eda Kepenekli Kadayifci1Ayse Karaaslan2Serkan Atici3Nurhayat Yakut4Sevliya Ocal Demir5Ahmet Soysal6Mustafa Bakir7Division of Pediatric Infectious Diseases, Department of Pediatrics, Marmara University School of Medicine, 34890 Istanbul, TurkeyDivision of Pediatric Infectious Diseases, Department of Pediatrics, Marmara University School of Medicine, 34890 Istanbul, TurkeyDivision of Pediatric Infectious Diseases, Department of Pediatrics, Marmara University School of Medicine, 34890 Istanbul, TurkeyDivision of Pediatric Infectious Diseases, Department of Pediatrics, Marmara University School of Medicine, 34890 Istanbul, TurkeyDivision of Pediatric Infectious Diseases, Department of Pediatrics, Marmara University School of Medicine, 34890 Istanbul, TurkeyDivision of Pediatric Infectious Diseases, Department of Pediatrics, Marmara University School of Medicine, 34890 Istanbul, TurkeyDivision of Pediatric Infectious Diseases, Department of Pediatrics, Marmara University School of Medicine, 34890 Istanbul, TurkeyDivision of Pediatric Infectious Diseases, Department of Pediatrics, Marmara University School of Medicine, 34890 Istanbul, TurkeyEpstein-Barr virus (EBV) usually causes mild, asymptomatic, and self-limited infections in children and adults; however, it may occasionally lead to severe conditions such as neurological diseases, malignant diseases, hepatic failure, and myocarditis. Epstein-Barr virus-related neurological disorders include meningitis, encephalitis, and cranial or peripheral neuritis, which are mostly seen in immunocompromised patients. The therapeutic modalities for EBV-related severe organ damage including central nervous system manifestations are still uncertain. Herein, we describe a seven-year-old boy with EBV encephalitis who presented with prolonged fever, exudative pharyngitis, reduced consciousness, and neck stiffness. Cranial magnetic resonance imaging showed contrast enhancement in the bilateral insular cortex and the right hypothalamus. The diagnosis was made by EBV-DNA amplification in both the blood and cerebrospinal fluid samples. He was discharged with acyclovir therapy without any sequelae.http://dx.doi.org/10.1155/2016/7549252
spellingShingle Gulsen Akkoc
Eda Kepenekli Kadayifci
Ayse Karaaslan
Serkan Atici
Nurhayat Yakut
Sevliya Ocal Demir
Ahmet Soysal
Mustafa Bakir
Epstein-Barr Virus Encephalitis in an Immunocompetent Child: A Case Report and Management of Epstein-Barr Virus Encephalitis
Case Reports in Infectious Diseases
title Epstein-Barr Virus Encephalitis in an Immunocompetent Child: A Case Report and Management of Epstein-Barr Virus Encephalitis
title_full Epstein-Barr Virus Encephalitis in an Immunocompetent Child: A Case Report and Management of Epstein-Barr Virus Encephalitis
title_fullStr Epstein-Barr Virus Encephalitis in an Immunocompetent Child: A Case Report and Management of Epstein-Barr Virus Encephalitis
title_full_unstemmed Epstein-Barr Virus Encephalitis in an Immunocompetent Child: A Case Report and Management of Epstein-Barr Virus Encephalitis
title_short Epstein-Barr Virus Encephalitis in an Immunocompetent Child: A Case Report and Management of Epstein-Barr Virus Encephalitis
title_sort epstein barr virus encephalitis in an immunocompetent child a case report and management of epstein barr virus encephalitis
url http://dx.doi.org/10.1155/2016/7549252
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