Subacute sclerosing panencephalitis in pregnancy
Summary We present a case of subacute sclerosing panencephalitis that developed in a previously healthy 29-year-old pregnant woman who had returned from a trip to rural India shortly before the onset of symptoms. She was admitted to hospital at 27 weeks' gestation with a history of cognitive de...
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| Veröffentlicht in: | The Lancet infectious diseases 2016-03, Vol.16 (3), p.366-375 |
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| creator | Chiu, Michael H, MD Meatherall, Bonnie, MD Nikolic, Ana, MD Cannon, Kristine, MBT Fonseca, Kevin, PhD Joseph, Jeffrey T, PhD MacDonald, Judy, MD Pabbaraju, Kanti, MSc Tellier, Raymond, MD Wong, Sallene, BSc Koch, Marcus W, Dr |
| description | Summary We present a case of subacute sclerosing panencephalitis that developed in a previously healthy 29-year-old pregnant woman who had returned from a trip to rural India shortly before the onset of symptoms. She was admitted to hospital at 27 weeks' gestation with a history of cognitive decline and difficulty completing simple tasks. She had no clinical signs of infection. The working diagnosis was autoimmune encephalitis, although extensive investigations did not lead to a final classifying diagnosis. The patient became comatose and developed hypertension, and an emergency caesarean section was done at 31 weeks to deliver the child, who seemed healthy. The patient died about 6 weeks after the onset of symptoms. The patient was found to have had subacute sclerosing panencephalitis at autopsy. In this Grand Round, we review the clinical features and treatment of subacute sclerosing panencephalitis, and the epidemiological and public health aspects of the case. |
| doi_str_mv | 10.1016/S1473-3099(15)00524-1 |
| format | Article |
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She was admitted to hospital at 27 weeks' gestation with a history of cognitive decline and difficulty completing simple tasks. She had no clinical signs of infection. The working diagnosis was autoimmune encephalitis, although extensive investigations did not lead to a final classifying diagnosis. The patient became comatose and developed hypertension, and an emergency caesarean section was done at 31 weeks to deliver the child, who seemed healthy. The patient died about 6 weeks after the onset of symptoms. The patient was found to have had subacute sclerosing panencephalitis at autopsy. In this Grand Round, we review the clinical features and treatment of subacute sclerosing panencephalitis, and the epidemiological and public health aspects of the case.</description><identifier>ISSN: 1473-3099</identifier><identifier>EISSN: 1474-4457</identifier><identifier>DOI: 10.1016/S1473-3099(15)00524-1</identifier><identifier>PMID: 26809815</identifier><identifier>CODEN: LANCAO</identifier><language>eng</language><publisher>United States: Elsevier Ltd</publisher><subject>Acids ; Adult ; Age ; Antigens ; Chicken pox ; Cognitive ability ; Encephalitis ; Family medical history ; Fatal Outcome ; Female ; Humans ; Hypertension ; Infections ; Infectious Disease ; Infectious diseases ; Macular degeneration ; Measles ; Pathology ; Pregnancy ; Pregnancy Complications, Infectious - pathology ; Pregnancy Complications, Infectious - virology ; Proteins ; Public health ; Subacute Sclerosing Panencephalitis - diagnosis ; Subacute Sclerosing Panencephalitis - pathology ; Tropical diseases ; Urine ; West Nile virus</subject><ispartof>The Lancet infectious diseases, 2016-03, Vol.16 (3), p.366-375</ispartof><rights>Elsevier Ltd</rights><rights>2016 Elsevier Ltd</rights><rights>Copyright © 2016 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Limited Mar 2016</rights><rights>Copyright © 2016 Elsevier Ltd. All rights reserved. 2016 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c620t-f227a711277b6adff0dcf5e8a00bb8e1fec8510f14067a76e1499133bd351e123</citedby><cites>FETCH-LOGICAL-c620t-f227a711277b6adff0dcf5e8a00bb8e1fec8510f14067a76e1499133bd351e123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1473309915005241$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26809815$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chiu, Michael H, MD</creatorcontrib><creatorcontrib>Meatherall, Bonnie, MD</creatorcontrib><creatorcontrib>Nikolic, Ana, MD</creatorcontrib><creatorcontrib>Cannon, Kristine, MBT</creatorcontrib><creatorcontrib>Fonseca, Kevin, PhD</creatorcontrib><creatorcontrib>Joseph, Jeffrey T, PhD</creatorcontrib><creatorcontrib>MacDonald, Judy, MD</creatorcontrib><creatorcontrib>Pabbaraju, Kanti, MSc</creatorcontrib><creatorcontrib>Tellier, Raymond, MD</creatorcontrib><creatorcontrib>Wong, Sallene, BSc</creatorcontrib><creatorcontrib>Koch, Marcus W, Dr</creatorcontrib><title>Subacute sclerosing panencephalitis in pregnancy</title><title>The Lancet infectious diseases</title><addtitle>Lancet Infect Dis</addtitle><description>Summary We present a case of subacute sclerosing panencephalitis that developed in a previously healthy 29-year-old pregnant woman who had returned from a trip to rural India shortly before the onset of symptoms. She was admitted to hospital at 27 weeks' gestation with a history of cognitive decline and difficulty completing simple tasks. She had no clinical signs of infection. The working diagnosis was autoimmune encephalitis, although extensive investigations did not lead to a final classifying diagnosis. The patient became comatose and developed hypertension, and an emergency caesarean section was done at 31 weeks to deliver the child, who seemed healthy. The patient died about 6 weeks after the onset of symptoms. The patient was found to have had subacute sclerosing panencephalitis at autopsy. 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pathology</topic><topic>Pregnancy Complications, Infectious - virology</topic><topic>Proteins</topic><topic>Public health</topic><topic>Subacute Sclerosing Panencephalitis - diagnosis</topic><topic>Subacute Sclerosing Panencephalitis - pathology</topic><topic>Tropical diseases</topic><topic>Urine</topic><topic>West Nile virus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chiu, Michael H, MD</creatorcontrib><creatorcontrib>Meatherall, Bonnie, MD</creatorcontrib><creatorcontrib>Nikolic, Ana, MD</creatorcontrib><creatorcontrib>Cannon, Kristine, MBT</creatorcontrib><creatorcontrib>Fonseca, Kevin, PhD</creatorcontrib><creatorcontrib>Joseph, Jeffrey T, PhD</creatorcontrib><creatorcontrib>MacDonald, Judy, MD</creatorcontrib><creatorcontrib>Pabbaraju, Kanti, MSc</creatorcontrib><creatorcontrib>Tellier, Raymond, MD</creatorcontrib><creatorcontrib>Wong, Sallene, BSc</creatorcontrib><creatorcontrib>Koch, Marcus W, Dr</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>Lancet Titles</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Lancet infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chiu, Michael H, MD</au><au>Meatherall, Bonnie, MD</au><au>Nikolic, Ana, MD</au><au>Cannon, Kristine, MBT</au><au>Fonseca, Kevin, PhD</au><au>Joseph, Jeffrey T, PhD</au><au>MacDonald, Judy, MD</au><au>Pabbaraju, Kanti, MSc</au><au>Tellier, Raymond, MD</au><au>Wong, Sallene, BSc</au><au>Koch, Marcus W, Dr</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Subacute sclerosing panencephalitis in pregnancy</atitle><jtitle>The Lancet infectious diseases</jtitle><addtitle>Lancet Infect Dis</addtitle><date>2016-03-01</date><risdate>2016</risdate><volume>16</volume><issue>3</issue><spage>366</spage><epage>375</epage><pages>366-375</pages><issn>1473-3099</issn><eissn>1474-4457</eissn><coden>LANCAO</coden><abstract>Summary We present a case of subacute sclerosing panencephalitis that developed in a previously healthy 29-year-old pregnant woman who had returned from a trip to rural India shortly before the onset of symptoms. She was admitted to hospital at 27 weeks' gestation with a history of cognitive decline and difficulty completing simple tasks. She had no clinical signs of infection. The working diagnosis was autoimmune encephalitis, although extensive investigations did not lead to a final classifying diagnosis. The patient became comatose and developed hypertension, and an emergency caesarean section was done at 31 weeks to deliver the child, who seemed healthy. The patient died about 6 weeks after the onset of symptoms. The patient was found to have had subacute sclerosing panencephalitis at autopsy. In this Grand Round, we review the clinical features and treatment of subacute sclerosing panencephalitis, and the epidemiological and public health aspects of the case.</abstract><cop>United States</cop><pub>Elsevier Ltd</pub><pmid>26809815</pmid><doi>10.1016/S1473-3099(15)00524-1</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Lancet infectious diseases, 2016-03, Vol.16 (3), p.366-375 |
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| language | eng |
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| source | ScienceDirect; MEDLINE |
| subjects | Acids Adult Age Antigens Chicken pox Cognitive ability Encephalitis Family medical history Fatal Outcome Female Humans Hypertension Infections Infectious Disease Infectious diseases Macular degeneration Measles Pathology Pregnancy Pregnancy Complications, Infectious - pathology Pregnancy Complications, Infectious - virology Proteins Public health Subacute Sclerosing Panencephalitis - diagnosis Subacute Sclerosing Panencephalitis - pathology Tropical diseases Urine West Nile virus |
| title | Subacute sclerosing panencephalitis in pregnancy |
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