Lady Reading Hospital Peshawar, Pakistan.
J Ayub Med Coll Abbottabad. 2022 Jul-Sep;34(3):566-568. doi: 10.55519/JAMC-03-9417.
We report a rare case of encephalitis that is not often described in clinical settings in neurology. Our case was 11-year-old female patient who had presented with features of meningoencephalitis, but not responded to the conventional treatment. Her magnetic resonance imaging revealed lesions in thalami, cerebellum and brainstem. The differentials in this age were infective and inflammatory causes of meningoencephalitis and acute disseminated encephalomyelitis (ADEM). Paraneoplastic was another differential. Mycoplasma serology came out positive. As a result, diagnosis of mycoplasma pneumoiae associated Rhombencephalitis was made based on diagnosis of exclusion.
我们报告了一例在神经科临床中不常描述的脑炎病例。我们的病例是一名 11 岁女性患者,表现为脑膜脑炎的特征,但对常规治疗没有反应。她的磁共振成像显示丘脑、小脑和脑干有病变。在这个年龄段,需要考虑的鉴别诊断包括感染性和炎症性脑膜脑炎以及急性播散性脑脊髓炎(ADEM)。副肿瘤也是一个需要鉴别的原因。支原体血清学检测呈阳性。因此,基于排除诊断,诊断为肺炎支原体相关脑桥脑炎。