J Korean Neurol Assoc.
2006 Feb;24(1):82-84.
A Case of Adult Mumps Meningoencephalitis with a Past Measles-Mumps-Rubella (MMR) Vaccination
- Affiliations
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- 1Department of Neurology, Armed Forces Capital Hospital, Seongnam, Korea.
- 2Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. kyjung@smc.samsung.co.kr
Abstract
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When dealing with a mumps infection, the complication of meningoencephalitis is quite rare. A 24-year-old soldier with a past MMR vaccination was admitted because of aseptic meningitis. His cognitive functioning was rapidly deteriorating with the swelling of both parotid glands. MR findings revealed discrete lesions in the brainstem and thalamus. He barely recovered within 2 months. Among adults with a failure to get the immunity despite vaccination, institutional crowding can lead to a fatal CNS complication such as mumps meningoencephalitis.