title: [Severe acute disseminated encephalomyelitis associated with parainfluenza 3 infection: Case report].
abstract: Disseminated encephalomyelitis (ADEM) is an infrequent condition with considerable morbidity and mortality in adult patients. It requires a high level of suspicion and diagnosis emerges by gathering clinical information, laboratory exams and images studies. ADEM is related to an immunological phenomena occurring after a bacterial/viral infection or recent vaccination. Glucocorticoids are the first line treatment, reserving immunoglobulins and plasmapheresis to refractory cases. We report a male patient aged 25, with ADEM associated to parainfluenza 3 virus respiratory infection that required mechanical ventilation and that had a complete recovery only after plasmapheresis.
authors.forename: Felipe
authors.initials: F
authors.lastname: Olivares
authors.forename: Marcia
authors.initials: M
authors.lastname: Salinas
authors.forename: Andrés
authors.initials: A
authors.lastname: Soto
authors.forename: Jeannette
authors.initials: J
authors.lastname: Dabanch
authors.forename: Alberto
authors.initials: A
authors.lastname: Fica
mesh_terms: D000328:Adult; D004673:Encephalomyelitis, Acute Disseminated / Q000628:therapy / Q000821:virology*; D006801:Humans; D009682:Magnetic Resonance Spectroscopy; D008297:Male; D010224:Parainfluenza Virus 3, Human; D010956:Plasmapheresis; D012121:Respiration, Artificial; D010253:Respirovirus Infections / Q000150:complications* / Q000628:therapy; D012720:Severity of Illness Index