Extensive Longitudinal Transverse Myelitis Associated With CSF Epstein-Barr Virus Infection: A Case Report

Author:

Singhi Pratibha1ORCID,Sharma Jai Prakash1,Gautam Rakchhya1,Indra Raden M.2ORCID,Rafli Achmad3

Affiliation:

1. Medanta—The Medicity, Gurugram, Haryana, India

2. Mohammad Hoesin General Hospital/Universitas Sriwijaya Medical School, Palembang, Indonesia

3. Cipto Mangunkusumo General Hospital/Medical School, University of Indonesia, Jakarta, Indonesia

Abstract

Background. Acute transverse myelitis (ATM) in children can be secondary to central nervous system infections. Several reports have associated ATM with Epstein-Barr virus (EBV) infection. Case presentation. We report a previously healthy 10-year-old boy with paraparesis that started 7 days before admission. Spinal T2W MRI revealed extensive hyperintense lesions. Cerebrospinal fluid WBC was 268/µL and PCR examination was positive for EBV. High dose methylprednisolone (1 g/kg) was given for 5 days, the child was symptom free 3 months after presentation. Conclusion. Epstein-Barr infection should be considered in ATM, particularly when CSF WBC count is high.

Publisher

SAGE Publications

Subject

General Economics, Econometrics and Finance

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