Enteroviral Rhombencephalitis with Abducens Nerve Palsy and Cardio-Pulmonary Failure in a 2-Year-Old Boy
Children
; 9(5):643, 2022.
Article
in English
| ProQuest Central | ID: covidwho-1870752
ABSTRACT
Enterovirus infection is endemic in many areas, especially in Southeast Asia. Enterovirus infection with severe complications (EVSC) is life-threatening, and timely diagnosis and management are crucial for successful management. Here, we report on a 2-year-old boy with hand, foot, and mouth disease. Myoclonic jerks developed and left abducens nerve palsy followed. Brain magnetic resonance imaging (MRI) showed rhombencephalitis. Pulmonary edema and cardiopulmonary failure developed, and intravenous immunoglobulin and extracorporeal membrane oxygenation were administered. He had a tracheostomy with home ventilator use after 64 days of hospitalization. At a 5-year follow-up, his neurodevelopment was normal with complete recovery from the abducens nerve palsy. The progress of EVSC may be rapid and fulminant, and timely diagnosis is critical for patient prognosis and outcomes. The presence of abducens nerve palsy is an indicator of enteroviral rhombencephalitis, and immediate and appropriate management is suggested.
Medical Sciences--Pediatrics; enterovirus; rhombencephalitis; brainstem encephalitis; enterovirus infection with severe complications; intravenous immunoglobulin; extracorporeal membrane oxygenation; Infections; Patients; Eye movements; Ventilators; Encephalitis; Epidemiology; Neurological disorders; Magnetic resonance imaging; Cytokines; Tracheotomy; Edema; Ostomy; Review boards; Viruses; Nervous system; Conflicts of interest; Blood; Coronaviruses; Disease transmission; COVID-19; Taiwan
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Collection:
Databases of international organizations
Database:
ProQuest Central
Language:
English
Journal:
Children
Year:
2022
Document Type:
Article
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