Abstract | BACKGROUND:
infectious mononucleosis is very common during childhood and neurological manifestations are extremely rare. However, when they occur, an appropriate treatment must be undertaken to reduce morbidity and mortality as well as to ensure appropriate management. METHODS: RESULTS: we reported the case of an adolescent female with a 5-day history of sudden asthenia, vomiting, dizziness, and dehydration, with a positive monospot test and hypertransaminasemia. In the following days, she developed acute ataxia, drowsiness, vertigo, and nystagmus with a positive EBV IgM titer, confirming acute infectious mononucleosis. The patient was clinically diagnosed with EBV-associated acute cerebellitis. A brain MRI showed no acute changes and a CT scan showed hepatosplenomegaly. She started therapy with acyclovir and dexamethasone. After a few days, because of her condition's deterioration, she received intravenous immunoglobulin and demonstrated a good clinical response. CONCLUSIONS:
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Authors | Emanuela Del Giudice, Filippo Mondì, Greta Rachele Bazzanella, Alessia Marcellino, Vanessa Martucci, Giovanna Pontrelli, Mariateresa Sanseviero, Piero Pavone, Silvia Bloise, Salvatore Martellucci, Anna Carraro, Flavia Ventriglia, Miriam Lichtner, Riccardo Lubrano |
Journal | Children (Basel, Switzerland)
(Children (Basel))
Vol. 10
Issue 4
(Mar 31 2023)
ISSN: 2227-9067 [Print] Switzerland |
PMID | 37189917
(Publication Type: Case Reports)
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