Autism spectrum disorder secondary to enterovirus encephalitis.
Millions of children are infected by enteroviruses each year, usually exhibiting only mild symptoms. Nevertheless, these viruses are also associated with severe and life-threatening infections, such as meningitis and encephalitis. We describe a 32-month-old patient with enteroviral encephalitis confirmed by polymerase chain reaction in cerebrospinal fluid, with unfavorable clinical course with marked developmental regression, autistic features, persistent stereotypes and aphasia. She experienced slow clinical improvement, with mild residual neurologic and developmental deficits at follow-up. Viral central nervous system infections in early childhood have been associated with autism spectrum disorders but the underlying mechanisms are still poorly understood. This case report is significant in presenting a case of developmental regression with autistic features and loss of language improving on follow-up. To our knowledge, this is the first published report of enterovirus encephalitis leading to an autism spectrum disorder.
1Infectious Diseases Unit, Hospital Dona Estefânia, Centro Hospitalar Lisboa Central-EPE, Lisbon, Portugal.
Filipa
F
Marques
Maria João
MJ
Brito
Marta
M
Conde
Mónica
M
Pinto
Ana
A
Moreira
D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology / Q000821:virology; D002659:Child Development Disorders, Pervasive / Q000209:etiology*; D002675:Child, Preschool; D018792:Encephalitis, Viral / Q000150:complications / Q000209:etiology*; D004769:Enterovirus Infections / Q000150:complications*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D015899:Tomography, Emission-Computed, Single-Photon
autism spectrum disorder; children; encephalitis; enterovirus