COVID-19-associated immune-mediated encephalitis mimicking acute-onset Creutzfeldt-Jakob disease.
Ann Clin Transl Neurol
; 8(12): 2314-2318, 2021 12.
Artículo
en Inglés
| MEDLINE | ID: covidwho-1536111
ABSTRACT
We report a subtype of immune-mediated encephalitis associated with COVID-19, which closely mimics acute-onset sporadic Creutzfeldt-Jakob disease. A 64-year-old man presented with confusion, aphasia, myoclonus, and a silent interstitial pneumonia. He tested positive for SARS-CoV-2. Cognition and myoclonus rapidly deteriorated, EEG evolved to generalized periodic discharges and brain MRI showed multiple cortical DWI hyperintensities. CSF analysis was normal, except for a positive 14-3-3 protein. RT-QuIC analysis was negative. High levels of pro-inflammatory cytokines were present in the CSF and serum. Treatment with steroids and intravenous immunoglobulins produced EEG and clinical improvement, with a good neurological outcome at a 6-month follow-up.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Encefalitis
/
COVID-19
Tipo de estudio:
Reporte de caso
/
Estudio de cohorte
/
Estudio pronóstico
Tópicos:
Covid persistente
/
Variantes
Límite:
Humanos
/
Masculino
/
Middle aged
Idioma:
Inglés
Revista:
Ann Clin Transl Neurol
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
Acn3.51479
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