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In Vivo Imaging Systems IVIS Detection of a Neuro-Invasive Encephalitic Virus
Published on: December 2, 2012
Fatal encephalitis associated with coronavirus OC43 in an immunocompromised child
Anna Nilsson1, Niklas Edner2, Jan Albert3,4
1Department of Women's and Children's Health, Childhood Cancer Research Unit, Astrid Lindgren Children's Hospital, Karolinska Institutet, Stockholm, Sweden.
Insights
A child undergoing chemotherapy for acute lymphoblastic leukemia (ALL) developed fatal brain inflammation (encephalitis). Human coronavirus OC43 (HCoV-OC43) was detected in the brain, despite negative spinal fluid tests.
Area of Science:
- Pediatric Oncology
- Infectious Diseases
- Neurology
Background:
- Acute lymphoblastic leukemia (ALL) is a common childhood cancer.
- Chemotherapy for ALL can lead to immunosuppression, increasing infection risk.
- Viral encephalitis is a serious complication in immunocompromised patients.
Abstract:
A child with pre-B acute lymphoblastic leukaemia (ALL) developed fatal encephalitis associated with human coronavirus OC43 (HCoV-OC43). During chemotherapy the child had a persistent HCoV-OC43 respiratory infection and later developed progressive encephalitis. Cerebrospinal fluid was negative for pathogens including HCoV-OC43, but a brain biopsy was HCoV-OC43-positive by metagenomic next-generation sequencing.
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