1/56. Acute dysautonomia following mumps.Pure acute or subacute dysautonomia is a rare entity. Its etiology is as yet unknown. However, majority of these cases have a preceding viral infection such as herpes simplex, infectious mononucleosis, rubella or coxsackie B. A unique patient in whom acute dysautonomia followed mumps is reported.- - - - - - - - - - ranking = 1keywords = infection (Clic here for more details about this article) |
2/56. An adult case of mumps brainstem encephalitis.We present an adult case of mumps brainstem encephalitis. He was successfully treated with steroid pulse therapy and recovered completely except for persistent dysuria. He had not been vaccinated and had no history of acute mumps infection. We consider that encephalitis in this case was caused by a reversible autoimmune process triggered by mumps infection. We emphasize the usefulness of pulse therapy for the treatment of some cases of mumps brainstem encephalitis in addition to the importance of mumps vaccination to prevent such a severe complication as encephalitis.- - - - - - - - - - ranking = 2keywords = infection (Clic here for more details about this article) |
3/56. mumps virus neutralizing antibodies do not protect against reinfection with a heterologous mumps virus genotype.In April 1999, a previously healthy 22-year-old woman was taken ill with fever and bilateral swelling of the parotid glands. A chronic course of disease extending from April to December was found with swelling of the parotid glands, fatigue, low grade fever, episodes of tachycardia and nightswetting. mumps virus rna of genotype A character based on the SH (small hydrophobic) protein gene classification was demonstrated in three serum samples collected during the course of clinical disease. Different criteria for reinfection were fulfilled including demonstration of IgG antibodies by ELISA in a preinfection serum sample. The preinfection serum sample of the patient was able to efficiently neutralize the infectivity of a heterologous genotype D strain but was unable to neutralize the homologous genotype A virus. The findings in the present study may offer an explanation of a mechanism behind previously observed vaccine failures and the occurrence of reinfection with heterologous mumps virus strains.- - - - - - - - - - ranking = 8keywords = infection (Clic here for more details about this article) |
4/56. Mumps-like syndrome owing to parvovirus B19: a brief report.Major manifestations of acute parvovirus B19 infection are usually erythema infectiosum, transient aplastic crisis and polyarthropathy. We report a case suspected to have mumps-meningo-encephalitis who had IgM and IgG antibodies positive for parvovirus B19.- - - - - - - - - - ranking = 1keywords = infection (Clic here for more details about this article) |
5/56. Case report of meningoencephalitis during a concomitant mumps and parvovirus B19 infection.A 19-year-old, immunologically healthy man suffered from prolonged and intermittent high fever, left parotitis, systemic lymph node swelling, progressive liver dysfunction and leukocytopenia. 11 days after the fever onset, consciousness disturbance and generalized convulsion occurred. By the administration of gamma-globulin and steroid, the patient recovered completely. serum titers of IgG and IgM specific for both human parvovirus B19 and mumps were elevated, and parvovirus B19 dna was identified in the serum. It was speculated that overlap infection of mumps and parvovirus B19 made the disease more severe in this patient.- - - - - - - - - - ranking = 5keywords = infection (Clic here for more details about this article) |
6/56. Bilateral neuroretinitis associated with mumps.BACKGROUND: Involvement of the optic nerve is a rare complication of mumps infection. OBJECTIVES: To report a case of bilateral neuroretinitis complicating a mumps infection and to review 5 previously reported cases. DESIGN: Case report and literature review. SETTING: Tertiary hospital. PATIENT: A 7-year-old girl had sudden-onset blindness due to bilateral neuroretinitis. Approximately 3 weeks prior to the initial examination, she developed a self-limited febrile illness with parotid swelling and subsequent meningoencephalitis. RESULTS: Mumps was determined to be the underlying cause of the meningoencephalitis and bilateral optic neuritis because of the exposure history in this nonvaccinated child, the typical clinical signs and symptoms, and the positive serologic test results. Recovery of visual function was gradual but nearly complete. CONCLUSIONS: physicians should be aware that optic nerve involvement may be a manifestation of mumps infection. The delayed onset of optic neuritis, the bilateral involvement, and the near complete recovery suggest an immune-mediated pathogenesis.- - - - - - - - - - ranking = 3keywords = infection (Clic here for more details about this article) |
7/56. Inner ear pathologic features following mumps infection. Report of a case in an adult.temporal bone studies in an adult with a moderately severe, bilateral sensorineural hearing loss revealed bilateral cochlear changes 13 years after mumps infection. The organ of corti was completely absent in the greater part of the superior horizontal basal limbs, with occasional hair cell loss throughout the rest of the cochlea. The outer sulcus cell area was degenerated. The stria vascularis was normal, as was the tectorial membrane, except for small hyaline droplets. The number of nerve fibers was extremely decreased in the spiral bony lamina of the basal turns. Basophilic material, possibily representing degeneration of otoliths, was present in the saccule and utricle, bilaterally, with small amounts in all of the ampullae. This was considered to be either a possible result of cytotoxic cancerocidal therapy, or an incidental nonspecific change.- - - - - - - - - - ranking = 5keywords = infection (Clic here for more details about this article) |
8/56. mumps virus reinfection--clinical findings and serological vagaries.Sera taken from two cases of mumps reinfection were tested against different strains of mumps virus in a plaque reduction neutralisation assay. antibodies to mumps in the sera reacted with all strains, but the pattern of emergence of these antibodies differed with the strains tested. These findings raise the possibility of emergence of a mutant strain under the selective pressure of immunisation, with limited or no cross protection induced by the vaccine strain.- - - - - - - - - - ranking = 5keywords = infection (Clic here for more details about this article) |
9/56. hematuria with mumps infection.Two cases with macroscopic hematuria as complication of acute mumps infection is reported. The patients have neither been vaccinated against mumps nor had mumps infection earlier. Macroscopic hematuria resolved spontaneously and renal functions did not deteriorate in both the patients. Although mumps has a benign course, mild and rarely severe renal involvement may occur. Therefore, renal functions in patients with hematuria and mumps should be followed closely.- - - - - - - - - - ranking = 6keywords = infection (Clic here for more details about this article) |
10/56. hydrocephalus due to acute aqueductal stenosis following mumps infection: report of a case and review of the literature.An acquired form of hydrocephalus due to aqueductal stenosis developing as a sequela of mumps virus infection of the central nervous system is presented. Percutaneous third ventriculostomy and interventriculostomy (aqueduct cannulation) were performed using a flexible fiberoptic ventriculoscope. The aqueduct was blocked with amorphous material but was cleared with the scope. This is the first case of a fulminant phase of mumps ventriculitis leading to aqueductal stenosis, which has been treated using a ventriculoscope for the first time.- - - - - - - - - - ranking = 5keywords = infection (Clic here for more details about this article) |
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