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The Journal of Pediatric Infectious Diseases and Immunology > Vol.24 No.3 contents > Abstract

Article in Japanese

A case of acute disseminated encephalomyelitis presenting as fever of unknown origin


We report a case of a five year old girl with disseminated encephalomyelitis (ADEM) diagnosed during the investigation for fever of unknown origin (FUO). She was admitted to our hospital on day 11 of the disease because of a prolonged febrile state. Even after admission, her fever was prolonged. From around day 23, she was somnolent with a staggering gait. On day 26, she was diagnosed with ADEM by brain MRI. Steroid pulse therapy was administered and she took a turn for the better without prognostic symptoms. ADEM may thus be considered as part of the differential diagnosis in FUO.

Department of Pediatrics, Kensei Hospital

Key words
Received February 6, 2012
Accepted May 8, 2012

24 (3):263─267,2012