Korean J Pediatr Infect Dis.
2005 Nov;12(2):202-207. 10.14776/kjpid.2005.12.2.202.
Three Cases of Aseptic Meningitis Following the Use of Intravenous Immune Globulin
- Affiliations
-
- 1Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea. hoanlee@snu.ac.kr
- 2Department of Pediatrics, Korea Cancer Center Hospital, Seoul, Korea.
- 3Department of Pediatrics, National Police Hospital, Seoul, Korea.
- KMID: 2440015
- DOI: http://doi.org/10.14776/kjpid.2005.12.2.202
Abstract
- Intravenous immune globulin(IVIG) is widely used for immune thrombocytopenic purpura (ITP), Kawasaki disease and other autoimmune neuromuscular disease. Aseptic meningitis was one of the most serious neurologic complications reported following the use of IVIG. We experienced 4 episodes of aseptic meningitis associated with IVIG usage in 3 patients from 2003 to 2004. Underlying disease of each patients was ITP, Kawasaki disease and myathenia gravis and all of them received high dose IVIG treatment for their underlying disease. Within a days, they started to complain severe headache and diagnosed meningitis by cerebrospinal fluid analysis. Cerebrospinal fluid leukocyte counts varied from 92 to over a thound per microliter with dominance of polymorphonuclear leukocytes. Microbiologic studies revealed no organisms. All of them were free from headache within 2 days and did not suffer any neurological sequelae.
