J Infect Public Health. 2016 Sep 15. pii: S1876-0341(16)30142-3. doi: 10.1016/j.jiph.2016.08.019. [Epub ahead of print]

Mild encephalitis/encephalopathy with reversible splenial lesion (MERS) associated with Streptococcus pneumoniae Bacteraemia.

Avcu G1, Kilinc MA2, Eraslan C3, Karapinar B4, Vardar F5.

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Abstract

Mild encephalopathy with a reversible splenial lesion (MERS) is a clinico-radiological syndrome that can be related to infectious and non-infectious conditions. Patients present with mild neurological symptoms, and magnetic resonance imaging typically demonstrate a reversible lesion with transiently reduced diffusion in the splenium of the corpus callosum. Here, we describe MERS in a 10-year-old boy who presented with fever and consciousness and who completely recovered within a few days. Streptococcus pneumoniae was the causative agent. Although viruses (especially influenza A and B) are the most common pathogen of MERS, for proper management, bacteria should be considered, as they may also lead to this condition.

Copyright © 2016. Published by Elsevier Ltd.

KEYWORDS:

Child; MRI; Mild encephalitis/encephalopathy with reversible splenial lesion (MERS); Splenium of the corpus callosum

PMID: 27641480 DOI: 10.1016/j.jiph.2016.08.019

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