An Anti-aquaporin 4 Positive Longitudinally Extensive Transverse Myelitis with Antecedent Necrotizing Pneumonia Associated with S. aureus
- Author:
Boo Kyoung JUNG
1
;
Jung A KWON
;
Jong Mok LEE
Author Information
- Publication Type:Case Report
- Keywords: Myelitis transverse; Aquaporin 4; Pneumonia necrotizing
- MeSH: Anti-Bacterial Agents; Aquaporin 4; Hospitalization; Humans; Male; Methylprednisolone; Middle Aged; Myelitis, Transverse; Neuromyelitis Optica; Plasma Exchange; Pneumonia; Pons; Quadriplegia
- From:Journal of the Korean Neurological Association 2018;36(3):220-222
- CountryRepublic of Korea
- Language:Korean
- Abstract: A 53-year-old male patient presented with quadriparesis during pulmonological hospitalization for the treatment of S. aureus associated necrotizing pneumonia. He was diagnosed with the aquaporin-4 (AQP4) positive longitudinally extensive transverse myelitis from pons to T3 level. Despite the administration of intravenous methylprednisolone and plasma exchange with appropriate antibiotics, the patient's neurological condition deteriorated and he died. Our case implies that an S. aureus associated necrotizing pneumonia can trigger an AQP4 positive neuromyelitis optica spectrum disorder and contribute to the devastating course.
