Epstein-Barr virus encephalitis in a renal transplant recipient manifesting as hemorrhagic, ring-enhancing mass lesions.
Jennifer M BabikS KatrakS MillerM ShahP Chin-HongPublished in: Transplant infectious disease : an official journal of the Transplantation Society (2015)
Epstein-Barr virus (EBV) encephalitis has been infrequently described in immunocompromised patients. Here, we report a unique case of biopsy-proven EBV encephalitis in a renal transplant recipient presenting with altered mental status, prominent visual disturbances, and hemorrhagic, ring-enhancing mass lesions on magnetic resonance imaging. The patient was successfully treated with a prolonged course of antivirals. This case illustrates the difficulty in interpretation of cerebrospinal fluid EBV polymerase chain reaction assay, given the lack of specificity in immunocompromised patients.
Keyphrases
- epstein barr virus
- diffuse large b cell lymphoma
- end stage renal disease
- magnetic resonance imaging
- newly diagnosed
- ejection fraction
- chronic kidney disease
- cerebrospinal fluid
- peritoneal dialysis
- prognostic factors
- case report
- computed tomography
- extracorporeal membrane oxygenation
- single cell
- mechanical ventilation
- patient reported
- fine needle aspiration
- diffusion weighted imaging