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Postinfectious Anti-Myelin Oligodendrocyte Glycoprotein Antibody Positive Optic Neuritis and Myelitis

dc.contributor.authorVieira, JP
dc.contributor.authorSequeira, J
dc.contributor.authorBrito, MJ
dc.date.accessioned2018-02-15T11:11:24Z
dc.date.available2018-02-15T11:11:24Z
dc.date.issued2017-10
dc.description.abstractWe report the case of a 9-year-old girl admitted with fever, headache, and a cerebrospinal fluid lymphocytic pleocytosis. Polymerase chain reaction was positive for human herpes virus 6. She subsequently developed ataxia and bilateral loss of vision. Magnetic resonance imaging (MRI) showed bilateral optic nerve lesions with extension to optic chiasm and a short-segment myelitis. Serologic studies were positive for Borrelia burgdorferi IgM. Anti-aquaporin 4 antibody was negative and anti-myelin oligodendrocyte glycoprotein antibody (MOG) positive. After intravenous methylprednisolone, ceftriaxone, and intravenous immunoglobulin, her vision slowly recovered. The patient was discharged with only mild visual acuity loss, 1 month after admission. Brain MRI was repeated later and was normal and MOG assay became negative. In our view, this patient suffered from a postinfectious, anti-MOG-mediated, spinal cord and optic nerve demyelination.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Child Neurol. 2017 Oct;32(12):996-999pt_PT
dc.identifier.doi10.1177/0883073817724927pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2898
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSAGE Publicationspt_PT
dc.subjectLyme Borreliosispt_PT
dc.subjectBilateral Optic Neuritispt_PT
dc.subjectNeuromyelitis Optica Spectrum Disorderspt_PT
dc.subjectCase Reportpt_PT
dc.subjectChildpt_PT
dc.subjectHDE NEU PEDpt_PT
dc.subjectHDE INF PEDpt_PT
dc.titlePostinfectious Anti-Myelin Oligodendrocyte Glycoprotein Antibody Positive Optic Neuritis and Myelitispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage999pt_PT
oaire.citation.issue12pt_PT
oaire.citation.startPage996pt_PT
oaire.citation.volume32pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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