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An Adult Case of Mumps Brainstem Meningoencephalitis with a Past Measles-Mumps-Rubella (MMR) Vaccination

정기영|홍지만
대한내과학회 (The Korean Association Of Internal Medicine)|2006.06|The Korean Journal of Internal Medicine|제21권 제2호|pp. 154-157

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참고문헌

키워드

VaccinationMumpsMeningoencephalitis
주제분류내과학

초록

Severe complications such as meningoencephalitis are quite rare in the setting of mumps infection. We report here on a 24-year-old soldier with a past history of MMR vaccination who was admitted because of aseptic meningitis. His mental status rapidly deteriorated and swelling of both parotid glands was observed. The MR findings revealed discrete lesions in the brainstem and thalamus. He barely recovered within 2 months. Among the adults with failure to acquire immunity despite MMR vaccination, institutional crowding can lead to cases of potentially fatal CNS complication such as mumps meningoencephalitis

Abstract

Severe complications such as meningoencephalitis are quite rare in the setting of mumps infection. We report here on a 24-year-old soldier with a past history of MMR vaccination who was admitted because of aseptic meningitis. His mental status rapidly deteriorated and swelling of both parotid glands was observed. The MR findings revealed discrete lesions in the brainstem and thalamus. He barely recovered within 2 months. Among the adults with failure to acquire immunity despite MMR vaccination, institutional crowding can lead to cases of potentially fatal CNS complication such as mumps meningoencephalitis

참고문헌 (10)

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  4. "Sero-epidemiology of measles and mumps in Korea: impact of the catch-up campaign on measles immunity", 23, pp.290~297 (2004)
  5. "Molecular characterization of two genotype of mumps virus circulated in Korea during 1998-2001", 97, pp.111~116 (2003)
  6. "Mumps and mumps vaccine:a global review", 77, pp.3~14 (1999)
  7. "Mumps in Poland since 1990 to 2003:epidemiology and antibody prevalence", 23, pp.2711~2716 (2005)
  8. "Acute encephalitis from 1967 to 1991", 184, pp.169~177 (2001)
  9. "Brainstem encephalitis and acute disseminated encephalomyelitis following mumps", 30, pp.132~134 (2004)
  10. "Regional outbreak of mumps due to genotype H in Korea in 1999", 73, pp.85~90 (2004)

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