Aphasia as presenting symptom of hepatitis A

Authors

  • Sara Pérez-Pereda Servicio de Neurología, Hospital Universitario Marqués de Valdecilla, Santander (Cantabria), Spain
  • Vicente González-Quintanilla Servicio de Neurología, Hospital Universitario Marqués de Valdecilla, Santander (Cantabria), Spain
  • Juncal Sánchez-Arguiano Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander (Cantabria), Spain
  • Yesica Jiménez-López Servicio de Neurología, Hospital Universitario Marqués de Valdecilla, Santander (Cantabria), Spain

DOI:

https://doi.org/10.32818/reccmi.a4n1a6

Keywords:

meningoencephalitis, encephalitis virus, hepatitis A virus, aphasia.

Abstract

Hepatitis A virus (HAV) rarely manifests with neurological alterations. There are some reported cases of Guillain-Barré syndrome, acute disseminated encephalomyelitis, epileptic seizures and meningoencephalitis. Cases of meningoencephalitis have some common characteristics. Its diagnosis is based on the presence of lymphocytic meningitis with positive IgM HAV serology. We describe a novel case due to the form of presenta- tion that has not been described yet in the context of HAV, with sudden onset of aphasia and the appearance of digestive symptoms in the following days. The studies performed ruled out other etiologies and the clinical course was favorable with supportive treatment.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Chitambar SD, Fadnis RS, Joshi MS, Habbu A, Bhatia SG. Case report: hepatitis A preceding Guillain-Barré syndrome. J Med Virol. 2006 Aug; 78(8): 1011-1014.

Valenzuela JI, Rodríguez J, Dennis R, Novoa D, Barrera E, Gómez CC. Encefalomielitis aguda diseminada en el adulto. Caso de asociación con infección por el virus de la hepatitis A. Acta Med Colomb. 2014; 39(1): 64-68. Accesible en: https://www.actamedicacolombiana.com/cont.php?id=228&id2=2092

Cam S, Ertem D, Koroglu OA, Pehlivanoglu E. Hepatitis A virus infection presenting with seizures. Pediatr Infect Dis J. 2005 Jul; 24(7): 652-653.

Bromberg K, Newhall DN, Peter G. Hepatitis A and eningoencephalitis. JAMA. 1982 Feb 12; 247(6): 815.

Davoudi S, Soudbakhsh A, Emadikouchak H, Nikbakht G, Modabbernia A. Meningoencephalitis associated with hepatitis A infection: a case report and review of literature. Trop Doct. 2010 Jul; 40(3): 176-7. doi: https://doi.org/10.1258/td.2010.090424.

Ghorbani G, Ameli J, Ghadimi H, Form A. Meningoencephalitis of hepatitis A in adult man: a case report. Hepat Mon. 2008; 8(4): 313-316. Accesible en: https://hepatmon.com/en/articles/70018.html

Leblebicioglu H, Esen S, Sünbül M, Saniç A, Günaydin M. Acute hepatitis a virus infection and meningoencephalitis. Annals of Saudi Medicine. 1997; 17(1): 86-87. doi: https://doi.org/10.5144/0256-4947.1997.86.

Mathew T, Aroor S, Nadig R, Sarma G. Focal meningoencephalitis of hepatitis A: a clinico-radiologic picture. Pediatr Neurol. 2012 Sep; 47(3): 222-223. doi: https://doi.org/10.1016/j.pediatrneurol.2012.05.023.

Published

2019-04-30

How to Cite

1.
Pérez-Pereda S, González-Quintanilla V, Sánchez-Arguiano J, Jiménez-López Y. Aphasia as presenting symptom of hepatitis A. Rev Esp Casos Clin Med Intern [Internet]. 2019 Apr. 30 [cited 2024 Jul. 3];4(1):16-7. Available from: https://www.reccmi.com/RECCMI/article/view/364

Most read articles by the same author(s)