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Khalil, M; Enzinger, C; Wallner-Blazek, M; Scarpatetti, M; Barth, A; Horn, S; Reiter, G.
Epstein-Barr virus encephalitis presenting with a tumor-like lesion in an immunosuppressed transplant recipient.
J Neurovirol. 2008; 14(6):574-578
Doi: 10.1080/13550280802345715
(- Case Report)
Web of Science
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- Führende Autor*innen der Med Uni Graz
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Khalil Michael
- Co-Autor*innen der Med Uni Graz
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Barth Alain
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Enzinger Christian
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Horn Sabine
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Reiter Gudrun
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Scarpatetti Michael
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Wallner-Blazek Mirja
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- Abstract:
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Epstein-Barr virus (EBV) associated central nervous system (CNS) infection is a rare disease. We report an atypical manifestation of EBV encephalitis initially presenting with a tumor-like lesion of the optic tract in an immunocompromised patient 8 years after a combined kidney and pancreas transplantation had been performed. Polymerase chain reaction (PCR) in the cerebrospinal fluid (CSF) and antibody testing confirmed the diagnosis of EBV encephalitis, most likely as a consequence of a reactivated persistent EBV infection. After cessation of the immunosuppressive therapy and induction of treatment with ganciclovir, clinical and magnetic resonance imaging (MRI) findings rapidly improved.
- Find related publications in this database (using NLM MeSH Indexing)
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Antiviral Agents - therapeutic use
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Brain Neoplasms - diagnosis
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Brain Neoplasms - surgery
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DNA, Viral - blood
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DNA, Viral - cerebrospinal fluid
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Diagnosis, Differential -
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Encephalitis, Viral - diagnosis
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Encephalitis, Viral - drug therapy
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Epstein-Barr Virus Infections - diagnosis
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Epstein-Barr Virus Infections - drug therapy
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Epstein-Barr Virus Infections - pathology
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Female -
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Ganciclovir - therapeutic use
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Glioma - diagnosis
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Glioma - surgery
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Herpesvirus 4, Human - genetics
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Herpesvirus 4, Human - isolation & purification
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Humans -
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Immunocompromised Host -
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Immunosuppressive Agents - adverse effects
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Immunosuppressive Agents - therapeutic use
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Kidney Transplantation - adverse effects
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Kidney Transplantation - immunology
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Magnetic Resonance Imaging -
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Middle Aged -
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Pancreas Transplantation - adverse effects
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Pancreas Transplantation - immunology
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Visual Pathways - pathology
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Withholding Treatment -
- Find related publications in this database (Keywords)
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brain tumor
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Epstein-Barr virus
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encephalitis
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transplantation