A Rare Case of Acute Disseminated Encephalomyelitis (ADEM) With EBV Infection

A 22-year-old male patient presented to an emergency department for urinary retention over than 48 hours and gait disorder. A week before the patient reported having fever, headaches and nasal congestion.

Clinical Examination Upon Admission Blood pressure-120/50 mmHg  Heart rate - 80/min regular Neurological Examination Paresis of the lower extremity Elimination of patellar reflexes Quick reflexes in upper limb Hypoesthesia: Till D10 Laboratory Analysis Increased levels of  C-reactive protein (CRP) Lymphocyte-dominant hyperleukocytosis -12,680/mm3 Aspartate aminotransferase - 213 U/l Alanine transaminase - 426   U/l Gamma-glutamyl transferase -143   U/l Alkaline phosphatase - 276   U/l    Cerebrospinal fluid (CSF) Analysis :  Leukocytes -1,746/mm 3 leukocytes and  100% neutrophilic Red blood cells - 591/mm3 Hyperproteinorachia -2.140 g/l Treatment Offered Considering the presence of…