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KMID : 0338420060210020154
The Korean Journal of Internal Medicine
2006 Volume.21 No. 2 p.154 ~ p.157
An Adult Case of Mumps Brainstem Meningoencephalitis with a Past Measles-Mumps-Rubella (MMR) Vaccination
Hong JM
Jung KY
Abstract
Severe complications such as meningoencephalitis are quite rare in the setting of mumps infection. We report here on a 24-year-old soldier with a past history of MMR vaccination who was admitted because of aseptic meningitis. His mental status rapidly deteriorated and swelling of both parotid glands was observed. The MR findings revealed discrete lesions in the brainstem and thalamus. He barely recovered within 2 months. Among the adults with failure to acquire immunity despite MMR vaccination, institutional crowding can lead to cases of potentially fatal CNS complication such as mumps meningoencephalitis.
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