ro13-9904 and Epstein-Barr-Virus-Infections

Topics: Adult; Analgesics, Opioid; Anti-Bacterial Agents; C-Reactive Protein; Ceftriaxone; Clindamycin; Epstein-Barr Virus Infections; Fever; Humans; Lemierre Syndrome; Lymphadenopathy; Male; Neck Pain; Positron Emission Tomography Computed Tomography; Streptococcus anginosus; Tilidine; Young Adult

BACKGROUND Acute cerebellitis in adults is a rare disease. The etiology is unknown but postulated to be due to primary infection or para-infection. Different presentations have been reported, which complicates the diagnosis process. CASE REPORT We report the case of a young man who presented with headache, vomiting, and vertigo. He was found to have ataxia and cerebellar signs, bradycardia magnetic resonance imaging (MRI) of the brain showed acute cerebellitis, and cerebrospinal fluid (CSF) studies showed lymphocytosis. Further investigations showed the presence of Epstein-Barr virus (EBV) immunoglobulin M (IgM) and IgG. His symptoms resolved completely with corticosteroid and antiviral treatments. CONCLUSIONS Acute cerebellitis can present in various ways. Bradycardia, along with neurological deficits, should raise the suspicion of acute cerebellitis.

Topics: Acute Disease; Acyclovir; Anti-Bacterial Agents; Anti-Inflammatory Agents; Antiviral Agents; Ataxia; Bradycardia; Ceftriaxone; Cerebellar Diseases; Dexamethasone; Epstein-Barr Virus Infections; Glucocorticoids; Humans; Immunoglobulin G; Immunoglobulin M; Lymphocytosis; Male; Young Adult

Topics: Anti-Bacterial Agents; Borrelia; CD4 Lymphocyte Count; Ceftriaxone; Epstein-Barr Virus Infections; Genome; HIV Infections; HIV-1; Humans; Lyme Disease; Lyme Neuroborreliosis; Male; Middle Aged; Remission Induction

Topics: Acyclovir; Aged; Ampicillin; Anti-Bacterial Agents; Antigens, Viral; Ceftriaxone; Epstein-Barr Virus Infections; Female; Herpesvirus 4, Human; Humans; Immunocompetence; Lumbar Vertebrae; Magnetic Resonance Imaging; Myelitis; Paraplegia; Radiculopathy; Spinal Cord; Spinal Nerve Roots; Treatment Outcome