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01 February 2006

Acute encephalitis complicating rubella: a case report from Turkey

Nese Demirturk , Tuna Demirdal , Semiha Orhan , Figen Ozmen Yardimci

Case Rep Clin Pract Rev 2006; 7:186-189 :: ID: 452956

Abstract

Background: The literature includes case reports of encephalitis with rubella etiology. However, no case of adult or childhood rubella encephalitis is present in Turkey. This paper presents an adult case of rubella encephalitis and reviews the literature.
Case Report: An 18-year-old patient presented with severe encephalitis. Clinical features included, fever
appearing 3 days after a rash covering the face and the trunk, loss of consciousness and myoclonic
contractions. The diagnosis of rubella was confirmed by demonstration of IgM antibodies by serology in serum and cerebrospinal fluid. The patient was treated symptomatically. He was discharged on the 10th day of admission as he recovered completely. All physical examination and laboratory parameters were normal on the control visit a month later.
Conclusions: This is the first case of rubella encephalitis reported in Turkey. Rubella should be considered in etiology of encephalitis in countries, especially like Turkey, where there is not a routine rubella vaccination program.

Keywords: Rubella, Encephalitis, Turkey

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923