Delayed onset acute hemiparesis in Japanese Encephalitis: A case report and literature review (อาการแขนขาซีกซ้ายอ่อนแรงเฉียบพลันที่เกิดตามหลังโรคไข้สมองอักเสบเจอี: รายงานผู้ป่วย 1 ราย)

Authors

  • Khemika Khemakanok
  • Jintana Chataroopwijit
  • Nuttaphol Upiya
  • Sakara Hatspardol
  • Arucha Treesirichod
  • Kulthida Methawasin
  • Wirana Angtong

Keywords:

Japanese encephalitis, hemiparesis

Abstract

Japanese encephalitis remains an important public health burden in Thailand despite japanese encephalitis vaccine has been employed in the Expanded Program of Immunization (EPI). Acute stroke or hemiparesis was an atypical feature in japanese encephalitis. We report a case of japanese encephalitis proven by demonstration of specific IgM antibody against JEV in serum with delayed presentation of left hemiparesis. No remarkably structural abnormality of brain parenchyma was detected by computer tomography (CT) and magnetic resonance imaging (MRI). With supportive treatment and physical rehabilitation, this patient has returned to fully normal neurological function.

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Author Biographies

Khemika Khemakanok

Department of Pediatrics, Faculty of Medicine, Srinakharinwirot University

Jintana Chataroopwijit

Department of Pediatrics, Faculty of Medicine, Srinakharinwirot University

Nuttaphol Upiya

Department of Pediatrics, Faculty of Medicine, Srinakharinwirot University

Sakara Hatspardol

Department of Pediatrics, Faculty of Medicine, Srinakharinwirot University

Arucha Treesirichod

Department of Pediatrics, Faculty of Medicine, Srinakharinwirot University

Kulthida Methawasin

Department of Internal Medicine, Faculty of Medicine, Srinakharinwirot University

Wirana Angtong

Department of Radiology, Faculty of Medicine, Srinakharinwirot University

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Section

Case Report/Series (รายงานผู้ป่วย)