Adult human metapneumovirus encephalitis: A case report highlighting challenges in clinical management and functional outcome
- Author:
Tan Yeow LENG
1
;
Wee Tze CHAO
Author Information
1. Department of Rehabilitation Medicine, Singapore General Hospital, Singapore
- Publication Type:Case report
- From:
The Medical Journal of Malaysia
2017;72(6):372-373
- CountryMalaysia
- Language:English
-
Abstract:
We report a rare case of adult human metapneumovirus(HMPV) in a healthy 32-year-old man. There was dramaticdeterioration in his condition developing pneumonia withType-I respiratory failure and encephalitis. He neededmechanical ventilation in the intensive care setting and wastreated with intravenous ribavirin. Post-extubation heremained severely physically and cognitively impaireddespite rehabilitation. Treatment of HMPV pneumonia is atpresent, still without specific antiviral therapy. ManagingHMPV-encephalitis remained supportive and challenging.More definite treatment strategies are needed.