title: Acute post-infectious cerebellar ataxia due to co-infection of human herpesvirus-6 and adenovirus mimicking myositis.
abstract: Acute cerebellar ataxia (ACA) is a relatively common neurological disease in children. Most common types of ACA are acute post-infectious (APCA) and acute disseminated encephalomyelitis (ADEM). Less common but important causes include opsoclonus-myoclonus syndrome (OMS) and acute cerebellitis. Cerebellar neoplasms and acute hydrocephalus are additional causes of paediatric ataxia. APCA is the most common cause of ACA in children, comprising about 30-50% of total cases. This is a report about an immunocompetent 4-yrs-old male affected by APCA, due to co-infection by human herpesvirus-6 (HHV-6) and adenovirus, with symptoms mimicking myositis.
authors.affiliation: UOC First Aid and Emergency Department, Istituto Giannina Gaslini - Ospedale Pediatrico IRCCS, Largo G. Gaslini 5, 16147, Genova, Italy. aldonaselli@gmail.com.
authors.forename: Aldo
authors.initials: A
authors.lastname: Naselli
authors.affiliation: UOC First Aid and Emergency Department, Istituto Giannina Gaslini - Ospedale Pediatrico IRCCS, Largo G. Gaslini 5, 16147, Genova, Italy. gio_pala@libero.it.
authors.forename: Giovanna
authors.initials: G
authors.lastname: Pala
authors.affiliation: UOC First Aid and Emergency Department, Istituto Giannina Gaslini - Ospedale Pediatrico IRCCS, Largo G. Gaslini 5, 16147, Genova, Italy. federicocresta23@gmail.com.
authors.forename: Federico
authors.initials: F
authors.lastname: Cresta
authors.affiliation: UOC First Aid and Emergency Department, Istituto Giannina Gaslini - Ospedale Pediatrico IRCCS, Largo G. Gaslini 5, 16147, Genova, Italy. martina81@tiscali.it.
authors.forename: Martina
authors.initials: M
authors.lastname: Finetti
authors.affiliation: Neuroscience Department, Istituto Giannina Gaslini - Ospedale Pediatrico IRCCS, Largo G. Gaslini 5, 16147, Genova, Italy. robertabiancheri@ospedale-gaslini.ge.it.
authors.forename: Roberta
authors.initials: R
authors.lastname: Biancheri
authors.affiliation: UOC First Aid and Emergency Department, Istituto Giannina Gaslini - Ospedale Pediatrico IRCCS, Largo G. Gaslini 5, 16147, Genova, Italy. salvatorerenna@ospedale-gaslini.ge.it.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Renna
mesh_terms: D000208:Acute Disease; D000256:Adenoviridae; D000257:Adenoviridae Infections / Q000150:complications* / Q000175:diagnosis; D002524:Cerebellar Ataxia / Q000209:etiology*; D002648:Child; D060085:Coinfection / Q000150:complications*; D003937:Diagnosis, Differential; D015654:Herpesvirus 6, Human; D006801:Humans; D008297:Male; D009220:Myositis / Q000175:diagnosis*; D019349:Roseolovirus Infections / Q000150:complications* / Q000175:diagnosis