title: Subacute Sclerosing Panencephalitis: The Foothold in Undervaccination.
abstract: Subacute sclerosing panencephalitis (SSPE) is a fatal complication of measles infection. We present a case of a fully vaccinated 3-year-old boy who was diagnosed with and treated for autoimmune encephalitis before arriving at a diagnosis of SSPE. We discuss the challenges of diagnosing SSPE in developed countries.
authors.affiliation: Division of Child Neurology, Department of Neurology, Stanford Children's Health, Stanford, CA.
authors.forename: Rebecca L
authors.initials: RL
authors.lastname: Holt
authors.affiliation: Division of Pediatric Infectious Diseases, Stanford University School of Medicine, Stanford, CA.
authors.forename: Dylan
authors.initials: D
authors.lastname: Kann
authors.affiliation: Division of Pediatric Hospital Medicine, Department of Pediatrics, Stanford University, Palo Alto, CA.
authors.forename: Caroline E
authors.initials: CE
authors.lastname: Rassbach
authors.affiliation: Division of Pediatric Infectious Diseases, Stanford University School of Medicine, Stanford, CA.
authors.forename: Hayden T
authors.initials: HT
authors.lastname: Schwenk
authors.affiliation: Infectious Diseases Pathology Branch, Division of High-Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, Center for Disease Control, Atlanta, GA.
authors.forename: Jana M
authors.initials: JM
authors.lastname: Ritter
authors.affiliation: Division of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, GA.
authors.forename: Paul A
authors.initials: PA
authors.lastname: Rota
authors.affiliation: Division of Child Neurology, Department of Neurology, Stanford Children's Health, Stanford, CA. Electronic address: jelbers@stanford.edu.
authors.forename: Jorina
authors.initials: J
authors.lastname: Elbers
mesh_terms: D002675:Child, Preschool; D006801:Humans; D008297:Male; D008457:Measles / Q000150:complications / Q000517:prevention & control; D008458:Measles Vaccine; D013344:Subacute Sclerosing Panencephalitis / Q000517:prevention & control* / Q000821:virology
chemical_list: D008458:Measles Vaccine
keywords: child; immunization