[Anti-NMDAR encephalitis as a serious adverse event probably related to yellow fever vaccination]

Klin Mikrobiol Infekc Lek. 2018 Mar;24(1):17-19.
[Article in Czech]

Abstract

We present a case of a 17-year-old female with anti-NMDAR encephalitis probably associated with vaccination against yellow fever. Her symptoms occurred 27 days after vaccination against yellow fever. Anti-NMDAR encephalitis manifested as acute psychosis, memory loss and catatonia following fever with complex partial epileptic seizures. Interictal electroencephalogram showed slow-wave delta background activity with "delta brushes". The diagnosis was confirmed by NMDAR antibody positivity in serum and cerebrospinal fluid. Since ovarian teratoma, as the most common cause of anti-NMDAR encephalitis, did not develop within five years from its onset, the association with vaccination against yellow fever seems to be highly probable.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Anti-N-Methyl-D-Aspartate Receptor Encephalitis / etiology*
  • Female
  • Humans
  • Yellow Fever / prevention & control*
  • Yellow Fever Vaccine / adverse effects*
  • Yellow Fever Vaccine / immunology*

Substances

  • Yellow Fever Vaccine