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Acute amnestic syndrome with hippocampal lesion due to influenza B-associated encephalopathy

Zeitschrift:: Wiener klinische Wochenschrift

Autoren:: MD Kitty Koll, MD Susanne Willinger, Karoline Urlesberger, MD Walter Pirker

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Summary

Acute encephalopathy is a rare complication of influenza, particularly in adults. We report the case of a 77-year-old woman presenting with complete anterograde and significant retrograde amnesia developing during an influenza B infection. Cranial magnetic resonance imaging (MRI) showed hippocampal lesions including restricted diffusion during the acute phase. Symptoms partially improved following treatment with intravenous methylprednisolone and immunoglobulins but an amnesic syndrome persisted. We discuss possible causes of neurological complications in influenza infections.

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Tellier R, Li Y, Cowling BJ, Tang JW. Recognition of aerosol transmission of infectious agents: a commentary. BMC Infect Dis. 2019;19:101. PubMedPubMedCentral

Davis LE, Koster F, Cawthon A. Neurologic aspects of influenza viruses. Handb Clin Neurol. 2014;123:619–45. PubMedPubMedCentral

Wang GF, Li W, Li K. Acute encephalopathy and encephalitis caused by influenza virus infection. Curr Opin Neurol. 2010;23:305–11. PubMed

Meijer WJ, Linn FHH, Wensing AMJ, Leavis HL, van Riel D, Geurts van Kessel CH, et al. Acute influenza virus-associated encephalitis and encephalopathy in adults: a challenging diagnosis. JMM Case Rep. 2016. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5343125/. Accessed 24 Jan 2019.

Lopez J, Lomen-Hoerth C, Deutsch GK, Kerchner GA, Koshy A. Influenza-associated global amnesia and hippocampal imaging abnormality. Neurocase. 2014;20:446–51. PubMed

McCray BA, Forst D, Jindal J, Henderson GV. Clinical reasoning: a 57-year-old woman who developed acute amnesia following fever and upper respiratory symptoms. Neurology. 2015;84:e102–6. PubMed

Ak Ö, Biteker F, Cag Y, Öcal G, Benzonana N, Ciblak MA, et al. Influenza B‑associated encephalopathy in two adults. J Infect Chemother. 2012;18:961–4. PubMed

Shimamoto M, Okada S, Terashima T. Encephalopathy associated with influenza B in a healthy young man. Intern Med. 2017;56:1925–9. PubMedPubMedCentral

Tsai JP, Baker AJ. Influenza-associated neurological complications. Neurocrit Care. 2013;18:118–30. PubMed

10.

Sun G, Ota C, Kitaoka S, Chiba Y, Takayanagi M, Kitamura T, et al. Elevated serum levels of neutrophil elastase in patients with influenza virus-associated encephalopathy. J Neurol Sci. 2015;349:190–5. PubMed

11.

Hosseini S, Wilk E, Michaelsen-Preusse K, Gerhauser I, Baumgärtner W, Geffers R, et al. Long-term neuroinflammation induced by influenza A virus infection and the impact on hippocampal neuron morphology and function. J Neurosci. 2018;38:3060–80. PubMedPubMedCentral

Titel: Acute amnestic syndrome with hippocampal lesion due to influenza B-associated encephalopathy
Autoren:: MD Kitty Koll
MD Susanne Willinger
Karoline Urlesberger
MD Walter Pirker
Publikationsdatum: 10.08.2020
DOI: https://doi.org/10.1007/s00508-020-01721-x
Verlag: Springer Vienna
Zeitschrift: Wiener klinische Wochenschrift The Central European Journal of Medicine
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671