A case of acute transverse myelitis due to measles virus

Ayumi Endo; Tatsuo Fuchigami; Yuki Imai; Wakako Ishii; Chikako Arakawa; Ryutaro Kohira; Yukihiko Fujita; Hiroyuki Izumi; Hideo Mugishima

doi:10.3233/JPI-2009-0193

Journal of Pediatric Infectious Diseases, Table of Contents

J Pediatr Infect Dis 2009; 04(04): 405-408
DOI: 10.3233/JPI-2009-0193

Case Report

Georg Thieme Verlag KG Stuttgart – New York

A case of acute transverse myelitis due to measles virus

Ayumi Endo

^aDepartment of Pediatrics and Child Health, Nihon University School of Medicine, 30-1 Oyaguchi-Kamicho, Itabashi-ku, Tokyo, Japan

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Tatsuo Fuchigami

^aDepartment of Pediatrics and Child Health, Nihon University School of Medicine, 30-1 Oyaguchi-Kamicho, Itabashi-ku, Tokyo, Japan

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Yuki Imai

^aDepartment of Pediatrics and Child Health, Nihon University School of Medicine, 30-1 Oyaguchi-Kamicho, Itabashi-ku, Tokyo, Japan

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Wakako Ishii

^aDepartment of Pediatrics and Child Health, Nihon University School of Medicine, 30-1 Oyaguchi-Kamicho, Itabashi-ku, Tokyo, Japan

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Chikako Arakawa

^aDepartment of Pediatrics and Child Health, Nihon University School of Medicine, 30-1 Oyaguchi-Kamicho, Itabashi-ku, Tokyo, Japan

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Ryutaro Kohira

^aDepartment of Pediatrics and Child Health, Nihon University School of Medicine, 30-1 Oyaguchi-Kamicho, Itabashi-ku, Tokyo, Japan

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Yukihiko Fujita

^aDepartment of Pediatrics and Child Health, Nihon University School of Medicine, 30-1 Oyaguchi-Kamicho, Itabashi-ku, Tokyo, Japan

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Hiroyuki Izumi

^bDivision of Pediatrics, Itabashi Medical Association Hospital, 3-12-6 Takashimadaira, Itabashi-ku, Tokyo, Japan

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Hideo Mugishima

^aDepartment of Pediatrics and Child Health, Nihon University School of Medicine, 30-1 Oyaguchi-Kamicho, Itabashi-ku, Tokyo, Japan

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Abstract

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Abstract

A case of measles that developed myelitis is reported for the past 20 years, only nine pediatric cases including this case, have been reported in the literature. Moreover, there is no consensus about treatment. In the present case, steroid pulse therapy was, begun four days after the neurological symptoms appeared, and the prognosis was excellent. It is important to start steroid pulse therapy at the early stage in children with acute transverse myelitis after establishing the diagnosis.

Keywords

Transverse myelitis - measles - steroid pulse therapy

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