Acute disseminated encephalomyelitis following inactivated influenza vaccination in the Brazilian Amazon: a case report

AUTOR(ES)

Andrade, Solange Dourado de, Andrade, Maria Graciede Filha Santarém, Santos, Pablo José, Galvão, Maria de Lourdes, Barros, Mariana Martins de, Ramasawmy, Rajendranath, Safe, Izabella Picinin, Monteiro, Wuelton Marcelo, Sabidó, Meritxell, Alecrim, Maria das Graças Costa

FONTE

Rev. Soc. Bras. Med. Trop.

DATA DE PUBLICAÇÃO

2015-08

RESUMO

AbstractHere, we describe a case of acute disseminated encephalomyelitis (ADEM) that occurred during a plausible risk interval following inactivated influenza vaccination in a previously healthy 27-year-old man from Manaus, Brazil. He was treated with intravenous methylprednisolone and immunoglobulin. One-month follow-up revealed resolution of the brain lesions, but not of the spinal cord lesions. No recurrence or progression of the main neurological symptoms was observed. After two years of monitoring, the patient continues to experience weak lower limbs and urinary retention. Thus, we recommend that ADEM should be considered in a patient presenting with neurological symptoms after influenza vaccination.

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