PMID- 14679780
OWN - NLM
STAT- MEDLINE
DCOM- 20040210
LR  - 20061115
IS  - 0033-2658 (Print)
IS  - 0033-2658 (Linking)
VI  - 105
IP  - 10
DP  - 2003
TI  - [An adult case suspected of recurrent measles encephalitis with psychiatric 
      symptoms].
PG  - 1239-46
AB  - An adult case of suspected recurrent measles encephalitis with psychiatric 
      symptoms is reported. A 46-year-old woman developed measles encephalitis 
      presenting as schizophreniform disorder and recovered three months after onset. 
      However, approximately two years later, she suffered a relapse of encephalitis 
      presenting with psychiatric symptoms (auditory hallucination, cenesthopathy, 
      insomnia, depressive mood) and became comatose. Following ten days of symptomatic 
      treatment, her clinical symptoms gradually improved. Three months later, she made 
      a remarkable recovery without neurological sequelae. Since then, she has 
      maintained good condition for six years. The diagnosis of suspected recurrent 
      measles encephalitis was made on the basis of the change of anti-measles IgM 
      antibody titers. Acute relapse of disseminated encephalomyelitis (ARDEM) and 
      multiple sclerosis (MS) were ruled out due to no abnormal finding of cerebral 
      white matter on MRI. Six years after the recurrent episode, the titers of 
      anti-measles IgM antibodies (EIA) in the serum were still high, suggesting that 
      she was suffering from a chronic measles virus infection. This patient should be 
      followed up for a longer time because there is a possibility that she might be in 
      the latent period of subacute sclerosing panencephalitis (SSPE).
FAU - Hiroshi, Hashimoto
AU  - Hiroshi H
AD  - Department of Neuropsychiatry, Osaka City University Medical School.
FAU - Seiji, Koide
AU  - Seiji K
FAU - Toshihiro, Kai
AU  - Toshihiro K
FAU - Nobuo, Kiriike
AU  - Nobuo K
LA  - jpn
PT  - Case Reports
PT  - English Abstract
PT  - Journal Article
PL  - Japan
TA  - Seishin Shinkeigaku Zasshi
JT  - Seishin shinkeigaku zasshi = Psychiatria et neurologia Japonica
JID - 9801787
SB  - IM
MH  - Encephalitis, Viral/complications/*psychology
MH  - Female
MH  - Humans
MH  - Measles/complications/*psychology
MH  - Mental Disorders/etiology
MH  - Middle Aged
MH  - Recurrence
MH  - Subacute Sclerosing Panencephalitis/etiology
EDAT- 2003/12/19 05:00
MHDA- 2004/02/11 05:00
CRDT- 2003/12/19 05:00
PHST- 2003/12/19 05:00 [pubmed]
PHST- 2004/02/11 05:00 [medline]
PHST- 2003/12/19 05:00 [entrez]
PST - ppublish
SO  - Seishin Shinkeigaku Zasshi. 2003;105(10):1239-46.