title: An adult case of mumps brainstem meningoencephalitis with a past measles-mumps-rubella (MMR) vaccination.
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.
authors.affiliation: Department of Neurology, Ajou University School of Medicine, Suwon, Korea. dacda@hanmail.net
authors.forename: Ji Man
authors.initials: JM
authors.lastname: Hong
authors.forename: Ki Young
authors.initials: KY
authors.lastname: Jung
mesh_terms: D000328:Adult; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D022542:Measles-Mumps-Rubella Vaccine / Q000276:immunology*; D008590:Meningoencephalitis / Q000175:diagnosis / Q000209:etiology*; D009107:Mumps / Q000150:complications*; D014611:Vaccination
chemical_list: D022542:Measles-Mumps-Rubella Vaccine