title: Acute Disseminated Encephalomyelitis After Influenza Vaccination: A Case Report.
abstract: Acute disseminated encephalomyelitis is an inflammatory demyelinating disease of the central nervous system that has been associated with influenza immunization, but only a few cases related to vaccination for influenza have been reported. Acute disseminated encephalomyelitis developed in a 42-year-old woman within 3 weeks of receiving the seasonal influenza vaccine. She had 80% recovery after 3 months of treatment with methylprednisolone. Although cases of acute disseminated encephalomyelitis after vaccination for influenza are rare, enough of them have occurred that critical care nurses should be aware of the possibility. Early treatment can prevent serious residual signs and symptoms; therefore, correct and quick diagnosis is important. Medical history obtained from patients with central nervous system problems should include history of recent vaccinations.
authors.affiliation: Wei-Ti Chen is an assistant professor, Yale University, School of Nursing, West Haven, Connecticut.Yi-Chen Huang and Meng-Chin Peng are assistant head nurses, and Ming-Chu Wang is a staff nurse at Veterans General Hospital, Taipei, Taiwan.Kon-Ping Lin is an attending physician, Department of Neurology, Veterans General Hospital, Taipei, Taiwan.
authors.forename: Wei-Ti
authors.initials: WT
authors.lastname: Chen
authors.affiliation: Wei-Ti Chen is an assistant professor, Yale University, School of Nursing, West Haven, Connecticut.Yi-Chen Huang and Meng-Chin Peng are assistant head nurses, and Ming-Chu Wang is a staff nurse at Veterans General Hospital, Taipei, Taiwan.Kon-Ping Lin is an attending physician, Department of Neurology, Veterans General Hospital, Taipei, Taiwan.
authors.forename: Yi-Chen
authors.initials: YC
authors.lastname: Huang
authors.affiliation: Wei-Ti Chen is an assistant professor, Yale University, School of Nursing, West Haven, Connecticut.Yi-Chen Huang and Meng-Chin Peng are assistant head nurses, and Ming-Chu Wang is a staff nurse at Veterans General Hospital, Taipei, Taiwan.Kon-Ping Lin is an attending physician, Department of Neurology, Veterans General Hospital, Taipei, Taiwan.
authors.forename: Meng-Chin
authors.initials: MC
authors.lastname: Peng
authors.affiliation: Wei-Ti Chen is an assistant professor, Yale University, School of Nursing, West Haven, Connecticut.Yi-Chen Huang and Meng-Chin Peng are assistant head nurses, and Ming-Chu Wang is a staff nurse at Veterans General Hospital, Taipei, Taiwan.Kon-Ping Lin is an attending physician, Department of Neurology, Veterans General Hospital, Taipei, Taiwan.
authors.forename: Ming-Chu
authors.initials: MC
authors.lastname: Wang
authors.affiliation: Wei-Ti Chen is an assistant professor, Yale University, School of Nursing, West Haven, Connecticut.Yi-Chen Huang and Meng-Chin Peng are assistant head nurses, and Ming-Chu Wang is a staff nurse at Veterans General Hospital, Taipei, Taiwan.Kon-Ping Lin is an attending physician, Department of Neurology, Veterans General Hospital, Taipei, Taiwan. kplin@vghtpe.gov.tw.
authors.forename: Kon-Ping
authors.initials: KP
authors.lastname: Lin
mesh_terms: D000284:Administration, Oral; D000328:Adult; D004673:Encephalomyelitis, Acute Disseminated / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000188:drug therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage / Q000009:adverse effects*; D007262:Infusions, Intravenous; D008279:Magnetic Resonance Imaging / Q000379:methods; D008775:Methylprednisolone / Q000008:administration & dosage*; D020551:Pulse Therapy, Drug / Q000379:methods; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
chemical_list: D007252:Influenza Vaccines; D008775:Methylprednisolone