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Steroid‐responsive,progressive, focal measles virus brain infection
Authors:Israel Steiner MD  Vered Livneh MD  Chen Hoffmann MD  Dvora Nass MD  Orna Mor PhD  Joab Chapman MD  PhD
Affiliation:1. Department of Neurology, Rabin Medical Center, Petach Tikva, Israel;2. Departments of Neurology, Sheba Medical Center, Tel Hashomer, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv;3. Departments of Radiology, Sheba Medical Center, Tel Hashomer, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv;4. Department of Pathology, Sheba Medical Center, Tel Hashomer, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv;5. National HIV Reference Laboratory at the Ministry of Health, Sheba Medical Center, Tel Hashomer, Israel
Abstract:Chronic measles virus infection of the brain causes subacute sclerosing panencephalitis (SSPE), a progressive, relentless fatal disorder. We report a 52‐year‐old male who developed focal, chronic persistent measles virus infection of the brain following interferon and ribavirin therapy for hepatitis C, and who responded to steroid therapy. This case, diametrically different from SSPE, has 2 unique features, its focal nature and its permissive response to steroids, that may add to the understanding of the pathogenesis of SSPE and the mechanism enabling viruses to evade the immune response and establish persistent brain infection. Ann Neurol 2014;75:967–970
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