Case Report
BibTex RIS Cite

SARS-CoV-2 İlişkili Pediatrik Ensefalit Olgusu

Year 2022, , 129 - 131, 29.10.2022
https://doi.org/10.52827/hititmedj.964801

Abstract

COVID-19'a neden olan SARS-CoV-2, insan hücrelerini enfekte etmek için anjiyotensin dönüştürücü enzim 2 (ACE-2) reseptörüne bağlanır. Beyindeki glial hücreler ve nöronlar; ACE-2 reseptörü içerdiğinden dolayı SARS-CoV-2'nin potansiyel hedeflerindendir. Bu durum SARS-CoV-2’ye nörotrofik bir özellik sağlar. Ensefalit, enfeksiyonun veya vücudun immün savunmasının neden olduğu beyin parankiminin inflamasyonu olarak tanımlanır. Bu yazıda değerlendirmeler sonucunda SARS-CoV-2 ile ilişkili olabileceği düşünülen, bilinç kaybı ve tepkisizlik ile getirilen ensefalit olgusu sunuldu.

References

  • 1. Gómez CE, Perdiguero B, Esteban M. Emerging SARS-CoV-2 Variants and Impact in Global Vaccination Programs against SARS-CoV-2/COVID-19. Vaccines (Basel). 2021;9. doi:10.3390/vaccines9030243
  • 2. Lu R, Zhao X, Li J, Niu P, Yang B, Wu H, et al. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet. 2020;395: 565–574.
  • 3. Zhou Z, Kang H, Li S, Zhao X. Understanding the neurotropic characteristics of SARS-CoV-2: from neurological manifestations of COVID-19 to potential neurotropic mechanisms. J Neurol. 2020;267: 2179–2184.
  • 4. Solomon T, Michael BD, Smith PE, Sanderson F, Davies NWS, Hart IJ, et al. Management of suspected viral encephalitis in adults – Association of British Neurologists and British Infection Association National Guidelines. Journal of Infection. 2012. pp. 347–373. doi:10.1016/j.jinf.2011.11.014
  • 5. Ellul MA, Benjamin L, Singh B, Lant S, Michael BD, Easton A, et al. Neurological associations of COVID-19. Lancet Neurol. 2020;19: 767–783.
  • 6. Jordan RE, Adab P, Cheng KK. Covid-19: risk factors for severe disease and death. BMJ . 2020. p. m1198.
  • 7. Lima M, Siokas V, Aloizou A-M, Liampas I, Mentis A-FA, Tsouris Z, et al. Unraveling the Possible Routes of SARS-COV-2 Invasion into the Central Nervous System. Curr Treat Options Neurol. 2020;22: 37.
  • 8. Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 2020;109: 102433.
  • 9. Netland J, Meyerholz DK, Moore S, Cassell M, Perlman S. Severe acute respiratory syndrome coronavirus infection causes neuronal death in the absence of encephalitis in mice transgenic for human ACE2. J Virol. 2008;82: 7264–7275.
  • 10. Varatharaj A, Thomas N, Ellul MA, Davies NWS, Pollak TA, Tenorio EL, et al. Neurological and neuropsychiatric complications of COVID-19 in 153 patients: a UK-wide surveillance study. Lancet Psychiatry. 2020;7: 875–882.
  • 11. Huo L, Xu K-L, Wang H. Clinical features of SARS-CoV-2-associated encephalitis and meningitis amid COVID-19 pandemic. World J Clin Cases. 2021;9: 1058–1078.
  • 12. Radmanesh A, Raz E, Zan E, Derman A, Kaminetzky M. Brain Imaging Use and Findings in COVID-19: A Single Academic Center Experience in the Epicenter of Disease in the United States. AJNR Am J Neuroradiol. 2020;41: 1179–1183.
  • 13. Garg RK, Paliwal VK, Gupta A. Encephalopathy in patients with COVID-19: A review. J Med Virol. 2021;93: 206–222.

A Case of SARS-CoV-2 Associated Pediatric Encephalitis

Year 2022, , 129 - 131, 29.10.2022
https://doi.org/10.52827/hititmedj.964801

Abstract

SARS-CoV-2, which causes COVID-19, binds to the angiotensin-converting enzyme 2 (ACE-2) receptor to infect human cells. Glial cells, and neurons in the brain have been reported to contain ACE-2 receptors, making them potential targets of SARS-CoV-2. This provides neurotrophic properties to the SARS-CoV-2. Encephalitis is defined as inflammation of the brain parenchyma caused by an infection or the body's immune defenses. In this article, we present a case of encephalitis, which was brought with cognitive impairment and decreased responsiveness, which may be associated with SARS-CoV-2 as a result of the evaluations.

References

  • 1. Gómez CE, Perdiguero B, Esteban M. Emerging SARS-CoV-2 Variants and Impact in Global Vaccination Programs against SARS-CoV-2/COVID-19. Vaccines (Basel). 2021;9. doi:10.3390/vaccines9030243
  • 2. Lu R, Zhao X, Li J, Niu P, Yang B, Wu H, et al. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet. 2020;395: 565–574.
  • 3. Zhou Z, Kang H, Li S, Zhao X. Understanding the neurotropic characteristics of SARS-CoV-2: from neurological manifestations of COVID-19 to potential neurotropic mechanisms. J Neurol. 2020;267: 2179–2184.
  • 4. Solomon T, Michael BD, Smith PE, Sanderson F, Davies NWS, Hart IJ, et al. Management of suspected viral encephalitis in adults – Association of British Neurologists and British Infection Association National Guidelines. Journal of Infection. 2012. pp. 347–373. doi:10.1016/j.jinf.2011.11.014
  • 5. Ellul MA, Benjamin L, Singh B, Lant S, Michael BD, Easton A, et al. Neurological associations of COVID-19. Lancet Neurol. 2020;19: 767–783.
  • 6. Jordan RE, Adab P, Cheng KK. Covid-19: risk factors for severe disease and death. BMJ . 2020. p. m1198.
  • 7. Lima M, Siokas V, Aloizou A-M, Liampas I, Mentis A-FA, Tsouris Z, et al. Unraveling the Possible Routes of SARS-COV-2 Invasion into the Central Nervous System. Curr Treat Options Neurol. 2020;22: 37.
  • 8. Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 2020;109: 102433.
  • 9. Netland J, Meyerholz DK, Moore S, Cassell M, Perlman S. Severe acute respiratory syndrome coronavirus infection causes neuronal death in the absence of encephalitis in mice transgenic for human ACE2. J Virol. 2008;82: 7264–7275.
  • 10. Varatharaj A, Thomas N, Ellul MA, Davies NWS, Pollak TA, Tenorio EL, et al. Neurological and neuropsychiatric complications of COVID-19 in 153 patients: a UK-wide surveillance study. Lancet Psychiatry. 2020;7: 875–882.
  • 11. Huo L, Xu K-L, Wang H. Clinical features of SARS-CoV-2-associated encephalitis and meningitis amid COVID-19 pandemic. World J Clin Cases. 2021;9: 1058–1078.
  • 12. Radmanesh A, Raz E, Zan E, Derman A, Kaminetzky M. Brain Imaging Use and Findings in COVID-19: A Single Academic Center Experience in the Epicenter of Disease in the United States. AJNR Am J Neuroradiol. 2020;41: 1179–1183.
  • 13. Garg RK, Paliwal VK, Gupta A. Encephalopathy in patients with COVID-19: A review. J Med Virol. 2021;93: 206–222.
There are 13 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Erkut Etçioğlu 0000-0002-8117-7929

Muhammet Raşit Aydın 0000-0002-4202-0099

Hülya Yaşar This is me 0000-0003-3004-885X

Esin Olgun This is me 0000-0002-1279-8510

Hasan Apaydın 0000-0003-1367-1850

Publication Date October 29, 2022
Submission Date July 8, 2021
Acceptance Date February 11, 2022
Published in Issue Year 2022

Cite

AMA Etçioğlu E, Aydın MR, Yaşar H, Olgun E, Apaydın H. A Case of SARS-CoV-2 Associated Pediatric Encephalitis. Hitit Medical Journal. October 2022;4(3):129-131. doi:10.52827/hititmedj.964801