Case of clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) due to Legionella pneumonia
Clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) is a clinicoradiologic syndrome diagnosed by temporary hyperintense lesion in the area, including the splenium of the corpus callosum, on diffusion-weighted imaging and neuropsychiatric symptoms that recover without...
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| Veröffentlicht in: | BMJ case reports 2022-12, Vol.15 (12), p.e252994 |
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| creator | Kageyama, Satoko Hayashi, Ruiko Uchida, Haruhito A |
| description | Clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) is a clinicoradiologic syndrome diagnosed by temporary hyperintense lesion in the area, including the splenium of the corpus callosum, on diffusion-weighted imaging and neuropsychiatric symptoms that recover without sequelae. MERS is rare in adults, especially elderly people. We herein report a man in his 60s diagnosed with MERS caused by
pneumonia. He completely recovered with only the administration of levofloxacin and azithromycin despite the risk factors of an advanced age, medical history of untreated hypertension, bilateral spontaneous pneumothoraxes, smoking and drinking habits and pulmonary emphysema. To our knowledge, this is the oldest case of MERS due to
pneumonia and extremely old among total MERS cases. Our research revealed that
species are the most common pathogens of adult-onset MERS, while viruses are the main causative factors in children. This case helps clarify the features of MERS in high-risk adults. |
| doi_str_mv | 10.1136/bcr-2022-252994 |
| format | Article |
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pneumonia. He completely recovered with only the administration of levofloxacin and azithromycin despite the risk factors of an advanced age, medical history of untreated hypertension, bilateral spontaneous pneumothoraxes, smoking and drinking habits and pulmonary emphysema. To our knowledge, this is the oldest case of MERS due to
pneumonia and extremely old among total MERS cases. Our research revealed that
species are the most common pathogens of adult-onset MERS, while viruses are the main causative factors in children. This case helps clarify the features of MERS in high-risk adults.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2022-252994</identifier><identifier>PMID: 36585049</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adult ; Adults ; Age ; Aged ; Antigens ; Blood ; Brain Diseases - complications ; Brain research ; Cardiac arrhythmia ; Case reports ; Child ; Children & youth ; Coma ; Consciousness ; Corpus Callosum - diagnostic imaging ; Corpus Callosum - pathology ; Disease ; Dysarthria ; Encephalitis ; Encephalitis - diagnostic imaging ; Encephalitis - etiology ; Etiology ; Humans ; Influenza ; Laboratories ; Legionella ; Legionnaires' Disease - complications ; Legionnaires' Disease - diagnosis ; Legionnaires' Disease - drug therapy ; Magnetic Resonance Imaging ; Male ; Patients ; Pneumonia ; Pneumonia - complications ; Severe acute respiratory syndrome coronavirus 2 ; Viral infections</subject><ispartof>BMJ case reports, 2022-12, Vol.15 (12), p.e252994</ispartof><rights>BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2023 BMJ Publishing Group Limited 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c279t-f4f9c50b3cc8829375df5cf58584e8c9d327f95f152cf44e7592bb990f33c013</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36585049$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kageyama, Satoko</creatorcontrib><creatorcontrib>Hayashi, Ruiko</creatorcontrib><creatorcontrib>Uchida, Haruhito A</creatorcontrib><title>Case of clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) due to Legionella pneumonia</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>Clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) is a clinicoradiologic syndrome diagnosed by temporary hyperintense lesion in the area, including the splenium of the corpus callosum, on diffusion-weighted imaging and neuropsychiatric symptoms that recover without sequelae. MERS is rare in adults, especially elderly people. We herein report a man in his 60s diagnosed with MERS caused by
pneumonia. He completely recovered with only the administration of levofloxacin and azithromycin despite the risk factors of an advanced age, medical history of untreated hypertension, bilateral spontaneous pneumothoraxes, smoking and drinking habits and pulmonary emphysema. To our knowledge, this is the oldest case of MERS due to
pneumonia and extremely old among total MERS cases. Our research revealed that
species are the most common pathogens of adult-onset MERS, while viruses are the main causative factors in children. 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MERS is rare in adults, especially elderly people. We herein report a man in his 60s diagnosed with MERS caused by
pneumonia. He completely recovered with only the administration of levofloxacin and azithromycin despite the risk factors of an advanced age, medical history of untreated hypertension, bilateral spontaneous pneumothoraxes, smoking and drinking habits and pulmonary emphysema. To our knowledge, this is the oldest case of MERS due to
pneumonia and extremely old among total MERS cases. Our research revealed that
species are the most common pathogens of adult-onset MERS, while viruses are the main causative factors in children. This case helps clarify the features of MERS in high-risk adults.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>36585049</pmid><doi>10.1136/bcr-2022-252994</doi></addata></record> |
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| subjects | Adult Adults Age Aged Antigens Blood Brain Diseases - complications Brain research Cardiac arrhythmia Case reports Child Children & youth Coma Consciousness Corpus Callosum - diagnostic imaging Corpus Callosum - pathology Disease Dysarthria Encephalitis Encephalitis - diagnostic imaging Encephalitis - etiology Etiology Humans Influenza Laboratories Legionella Legionnaires' Disease - complications Legionnaires' Disease - diagnosis Legionnaires' Disease - drug therapy Magnetic Resonance Imaging Male Patients Pneumonia Pneumonia - complications Severe acute respiratory syndrome coronavirus 2 Viral infections |
| title | Case of clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) due to Legionella pneumonia |
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