Japanese-B Viral Encephalitis with a Biphasic Illness Pattern and Recovery after Intravenous Immunoglobulin Therapy.
10.14253/kjcn.2014.16.1.35
- Author:
Byung Chan LEE
1
;
Ji Ye JEON
;
Hye Jin MOON
;
Jeong Geun LIM
;
Yong Won CHO
Author Information
1. Department of Neurology, Keimyung University School of Medicine, Daegu, Korea. moonhyejin21@gmail.com
- Publication Type:Case Report
- Keywords:
Japanese-B viral encephalitis;
IVIG;
Biphasic illness
- MeSH:
Cerebrospinal Fluid;
Coma;
Electroencephalography;
Encephalitis, Viral*;
Female;
Humans;
Immunization, Passive*;
Immunoglobulin M;
Immunoglobulins;
Immunoglobulins, Intravenous;
Magnetic Resonance Imaging;
Middle Aged
- From:Korean Journal of Clinical Neurophysiology
2014;16(1):35-38
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Japanese-B viral encephalitis (JE) usually has a monophasic illness pattern. A 45-year-old woman in an altered mentality had improved over 1 month. About 1 week after the initial improvement, the patient became comatose with aggravated EEG and MRI findings. Assays of cerebrospinal fluid and serum were positive for the IgM antibody to Japanese-B virus. After intravenous immunoglobulin (IVIG) infusion, the patient recovered. We report a patient with JE who showed a biphasic illness pattern and recovered after IVIG therapy.