Mild encephalitis/encephalopathy with reversible splenial lesion (MERS) associated with Streptococcus pneumoniae Bacteraemia. Issue 4 (July 2017)

• Record Type: Journal Article
• Authors: Avcu, Gulhadiye; Kilinc, Mehmet A.; Eraslan, Cenk; Karapinar, Bulent; Vardar, Fadil
• Is Part Of: Journal of infection and public health. Volume 10:Issue 4(2017)
• Page Start: 479
• Page End: 482
• Publication Date: 2017-07
• Subjects: Mild encephalitis/encephalopathy with reversible splenial lesion (MERS) -- MRI -- Splenium of the corpus callosum -- Child; Communicable diseases -- Periodicals; Public health -- Periodicals; Epidemiology -- Periodicals; Nosocomial infections -- Prevention -- Periodicals; Medical microbiology -- Periodicals; 614.4
• DOI: 10.1016/j.jiph.2016.08.019
• Languages: English
• ISSNs: 1876-0341

Abstract

Summary: Mild encephalopathy with a reversible splenial lesion (MERS) is a clinico-radiological syndrome that can be related to infectious and non-infectious conditions. Patients present with mild neurological symptoms, and magnetic resonance imaging typically demonstrate a reversible lesion with transiently reduced diffusion in the splenium of the corpus callosum. Here, we describe MERS in a 10-year-old boy who presented with fever and consciousness and who completely recovered within a few days. Streptococcus pneumoniae was the causative agent. Although viruses (especially influenza A and B) are the most common pathogen of MERS, for proper management, bacteria should be considered, as they may also lead to this condition.