A Rare Case of Adult Acute Disseminated Encephalomyelitis Associated with Primary Epstein-Barr Virus Infection

• Published in: European journal of case reports in internal medicine Vol. 6; no. 4; p. 001094
• Main Authors: Ali, Deeba, Cardos, Benoît, Gorur, Yilmaz, Villalba, Noel Lorenzo, Janssen, Nathalie, Bartha, Carmen, Desfontaines, Phillippe, Weerts, Joseph, Fajardo, Pascal
• Format: Journal Article Web Resource
• Language: English
• Published: Italy SMC MEDIA 2019; SMC Media Srl; SMC MEDIA SRL
• Subjects: corticosteroids; demyelinating; Encephalomyelitis; Encephalomyelitis, demyelinating, corticosteroids, Epstein-Barr virus; Epstein-Barr virus; Human health sciences; Neurologie; Neurology; Sciences de la santé humaine; Epstein-Barr virus; Encephalomyelitis; corticosteroids; demyelinating
• ISSN: 2284-2594; 2284-2594
• DOI: 10.12890/2019_001094

We report a rare case of acute disseminated encephalomyelitis (ADEM) secondary to a primary Epstein-Barr (EBV) infection, in a 22-year-old male. Symptomatic infectious mononucleosis and ADEM are both quite uncommon conditions in this age group.
ADEM is a very rare CNS disorder; it is more common in childhood but can also be described in adults.The clinical evaluation must focus on the presence of recent signs of infection or vaccination.A normal cerebral scan does not rule out the disease and MRI must be performed to confirm the diagnoses.