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Acute autonomic neuropathy.

B Estañol-Vidal, R Pérez-Ortega, B Vargas-Lugo

    Archivos De Investigacion Medica
    |January 1, 1979
    PubMed
    Summary
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    This case report details acute autonomic neuropathy linked to infectious mononucleosis. It presents novel findings on plasma renin activity and cardiac function in this rare condition.

    Area of Science:

    • Neurology
    • Cardiology
    • Endocrinology

    Background:

    • Acute autonomic neuropathy is a rare disorder affecting the autonomic nervous system.
    • Infectious mononucleosis, caused by the Epstein-Barr virus, can occasionally trigger neurological complications.
    • This report focuses on a specific case with unique diagnostic findings.

    Observation:

    • The patient presented with symptoms suggestive of acute autonomic neuropathy.
    • Serological tests confirmed a recent infection with Epstein-Barr virus (infectious mononucleosis).
    • This represents the twelfth reported case of acute autonomic neuropathy and the second associated with infectious mononucleosis.

    Findings:

    • For the first time, plasma renin activity was measured in such a case.

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  • A decreased response to repetitive sinoatrial (S-A) node pacing was observed.
  • Novel data on the insulin curve (using radio-immunoassay) and cardiac catheterization were obtained.

    • Implications:

    • These findings contribute to understanding the pathophysiology of autonomic dysfunction post-infectious mononucleosis.
    • The reported data may aid in the diagnosis and management of similar rare cases.
    • Further research is warranted to explore the link between Epstein-Barr virus and autonomic neuropathy.