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Rapidly progressive acute necrotizing encephalopathy associated with influenza A in an elderly adult
BACKGROUND: Among the influenza‐associated encephalopathies, acute necrotizing encephalopathy (ANE) has a particularly poor prognosis. While it usually progresses within 48 h, we encountered a rapidly evolving case with the patient falling into coma from lucidity within 10 min. CASE PRESENTATION: A...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7725134/ https://www.ncbi.nlm.nih.gov/pubmed/33318805 http://dx.doi.org/10.1002/ams2.611 |
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author | Tsubota, Mami Kato, Akihiro Goshima, Takahiro Imai, Kazunori Yamagishi, Yota Matsushima, Asako Sasano, Hiroshi Hattori, Tomonori |
author_facet | Tsubota, Mami Kato, Akihiro Goshima, Takahiro Imai, Kazunori Yamagishi, Yota Matsushima, Asako Sasano, Hiroshi Hattori, Tomonori |
author_sort | Tsubota, Mami |
collection | PubMed |
description | BACKGROUND: Among the influenza‐associated encephalopathies, acute necrotizing encephalopathy (ANE) has a particularly poor prognosis. While it usually progresses within 48 h, we encountered a rapidly evolving case with the patient falling into coma from lucidity within 10 min. CASE PRESENTATION: A 71‐year‐old man was found unconscious after taking a 10‐min bath and brought to the emergency room. The head computed tomography (HCT) was normal, and he was diagnosed with heatstroke as a complication of influenza A. Despite effective therapy to correct his temperature, his consciousness did not improve, and within 24 h he progressed to multiple organ injury. Repeat HCT and subsequent magnetic resonance imaging revealed irreparably progressed ANE. CONCLUSION: To effectively treat ANE, early recognition and diagnosis are critical. Our case suggests that ANE should be considered and added to the differential diagnosis for adult patients with rapid cognitive deterioration. |
format | Online Article Text |
id | pubmed-7725134 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-77251342020-12-13 Rapidly progressive acute necrotizing encephalopathy associated with influenza A in an elderly adult Tsubota, Mami Kato, Akihiro Goshima, Takahiro Imai, Kazunori Yamagishi, Yota Matsushima, Asako Sasano, Hiroshi Hattori, Tomonori Acute Med Surg Case Report BACKGROUND: Among the influenza‐associated encephalopathies, acute necrotizing encephalopathy (ANE) has a particularly poor prognosis. While it usually progresses within 48 h, we encountered a rapidly evolving case with the patient falling into coma from lucidity within 10 min. CASE PRESENTATION: A 71‐year‐old man was found unconscious after taking a 10‐min bath and brought to the emergency room. The head computed tomography (HCT) was normal, and he was diagnosed with heatstroke as a complication of influenza A. Despite effective therapy to correct his temperature, his consciousness did not improve, and within 24 h he progressed to multiple organ injury. Repeat HCT and subsequent magnetic resonance imaging revealed irreparably progressed ANE. CONCLUSION: To effectively treat ANE, early recognition and diagnosis are critical. Our case suggests that ANE should be considered and added to the differential diagnosis for adult patients with rapid cognitive deterioration. John Wiley and Sons Inc. 2020-12-09 /pmc/articles/PMC7725134/ /pubmed/33318805 http://dx.doi.org/10.1002/ams2.611 Text en © 2020 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Tsubota, Mami Kato, Akihiro Goshima, Takahiro Imai, Kazunori Yamagishi, Yota Matsushima, Asako Sasano, Hiroshi Hattori, Tomonori Rapidly progressive acute necrotizing encephalopathy associated with influenza A in an elderly adult |
title | Rapidly progressive acute necrotizing encephalopathy associated with influenza A in an elderly adult |
title_full | Rapidly progressive acute necrotizing encephalopathy associated with influenza A in an elderly adult |
title_fullStr | Rapidly progressive acute necrotizing encephalopathy associated with influenza A in an elderly adult |
title_full_unstemmed | Rapidly progressive acute necrotizing encephalopathy associated with influenza A in an elderly adult |
title_short | Rapidly progressive acute necrotizing encephalopathy associated with influenza A in an elderly adult |
title_sort | rapidly progressive acute necrotizing encephalopathy associated with influenza a in an elderly adult |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7725134/ https://www.ncbi.nlm.nih.gov/pubmed/33318805 http://dx.doi.org/10.1002/ams2.611 |
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