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[Immune-mediated encephalitis in a child with a history of SARS-CoV-2 infection].

Jhoanna Adauto LuizagFlorencia Costa AlmarAgustina ZwirnerM Lucía Fernández PolivanoffRamiro F SuárezSantiago RossiCarolina Pascual
Published in: Archivos argentinos de pediatria (2022)
Encephalitis are frequent clinical pictures in pediatric age. They can be divided into those caused by infection of the central nervous system and those of immune-mediated etiology (some of which may be para- or post-infectious). In March 2020, the WHO declared a SARS-CoV-2 pandemic. Pediatric reports of disease caused by this agent describe a wide range of clinical manifestations: respiratory and gastrointestinal compromise, neurological symptoms, among others; and a multisystemic inflammatory syndrome in children associated with COVID-19 (MIS-C). We describe the case of a 2-year-old boy with a diagnosis of anti-NMDAR antibody encephalitis, in whom a recent SARS-CoV-2 infection was serologically proven. The presence of positive serological markers for SARS-CoV-2 in a patient who presented encephalitis due to anti-NMDAR antibodies could be interpreted as a temporal association; establishing the possibility that the virus has acted as a trigger for an autoimmune disease.
Keyphrases
  • sars cov
  • respiratory syndrome coronavirus
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  • case report
  • young adults
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  • emergency department
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  • subarachnoid hemorrhage
  • blood brain barrier
  • cerebral ischemia