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Epstein-Barr virus reactivation-related meningoencephalitis with transverse myelitis in pregnancy. 2023
Andrew Dang Khai Nguyen, and
Ronald Siu, and
Grant Kleinschmidt, and
Bimal Prakash Sood, and
Ehsan Esmaili Shandiz
Darling Downs Health Service, Queensland Health Toowoomba Hospital Toowoomba Queensland Australia.
Consider the differential of Epstein-Barr virus (EBV) reactivation in pregnant women who develop progressive meningoencephalitis and transverse myelitis. EBV nucleic acid amplification should be considered in immunosuppressed patients. A 32-year-old G10P6M3K22 pregnant female presented to a regional hospital with progressive severe neurological and behavioral deficits. Magnetic resonance revealed cervical transverse myelitis. Lumbar puncture confirmed Epstein-Barr virus (EBV) DNA on a background of IgG-positive EBV serology. A diagnosis of EBV reactivation-related meningoencephalitis with transverse myelitis in pregnancy was concluded.
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