<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-5256</journal-id>
<journal-title><![CDATA[Revista Med]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Med]]></abbrev-journal-title>
<issn>0121-5256</issn>
<publisher>
<publisher-name><![CDATA[Universidad Militar Nueva Granada. Facultad de Medicina]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-52562024000100107</article-id>
<article-id pub-id-type="doi">10.18359/rmed.6959</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Encefalitis aguda diseminada en paciente pediátrico: reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute Disseminated Encephalitis in a Pediatric Patient: Case Report]]></article-title>
<article-title xml:lang="pt"><![CDATA[Encefalite aguda disseminada em paciente pediátrico: relato de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rincón Ardila]]></surname>
<given-names><![CDATA[Osskar Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manrique Flores]]></surname>
<given-names><![CDATA[María Fernanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Beltrán Nuño]]></surname>
<given-names><![CDATA[José Ignacio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma del Estado de México  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma del Estado de México  ]]></institution>
<addr-line><![CDATA[Toluca México]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital para el Niño  ]]></institution>
<addr-line><![CDATA[Toluca México]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>32</volume>
<numero>1</numero>
<fpage>107</fpage>
<lpage>114</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-52562024000100107&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-52562024000100107&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-52562024000100107&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción: La encefalomielitis aguda diseminada es una enfermedad desmielinizante aguda del sistema nervioso central, generalmente se relaciona con una infección viral o inmunización; además se asocia a encefalopatía aguda y síntomas neurológicos multifocales.  Presentación del caso: Se trata de escolar de sexo femenino sin antecedentes patológicos de importancia ni evidencia de inmunizaciones previas al padecimiento, con cuadro de intolerancia a la vía oral y datos de somnolencia además de presencia de convulsiones y cambios en el comportamiento durante estancia en el servicio de urgencias, con deterioro del estado de conciencia, por lo que requiere manejo avanzado de la vía área y por clínica valorada por el servicio de Neurología. Este último solicita resonancia magnética y se encuentra presencia de múltiples lesiones hiperintensas que involucra sustancia blanca redonda de bordes bien delimitados. Por lo anterior y por evolución clínica, se inicia esquema con esteroides y por no respuesta clínica recibe manejo con inmunoglobulina intravenosa, posteriormente con recuperación gradual de la sintomatología motora, y se envía a seguimiento en la consulta externa con el servicio de neurología.  Conclusión: Esta patología constituye un dilema diagnóstico desde la etapa inicial de los síntomas, el padecer esta enfermedad no diagnosticada o no tratada de manera adecuada tiene mayor riesgo de secuelas devastadoras, aunque la parte neurocognitiva es favorable. Por lo anterior, siempre se debe tener en cuenta entre los diagnósticos diferenciales de pacientes con patología del sistema nervioso central con antecedentes de inmunizaciones e infecciones en las últimas 2 semanas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction: Acute disseminated encephalomyelitis (ADEM) is an acute demyelinating disease of the central nervous system, typically associated with viral infection or immunization. It manifests with acute encephalopathy and multifocal neurological symptoms.  Presentation of the Case: The patient, a female schoolgirl with no significant medical history or evidence of prior immunization, presented with intolerance to oral intake, drowsiness, seizures, and behavioral changes. She was admitted to the emergency department with a deteriorating level of consciousness, necessitating advanced management. Clinical evaluation by the neurology department prompted an MRI, revealing multiple hyperintense lesions with involvement of the round white matter and well-defined borders. Steroid therapy was initiated due to the clinical presentation and evolution. In the absence of clinical response, intravenous immunoglobulin was administered, leading to gradual recovery of the motor symptoms. The patient was subsequently discharged for outpatient follow-up with the neurology service.  Conclusion: ADEM poses a diagnostic challenge in the early stages of symptoms. Undiagnosed or inadequately treated cases carry a higher risk of devastating sequelae, though the neurocognitive prognosis is generally favorable. Therefore, ADEM should always be considered in the differential diagnoses of patients presenting with central nervous system pathology, particularly those with a recent history of immunization or infections.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução: A encefalomielite aguda disseminada é uma doença desmielinizante aguda do sistema nervoso central, geralmente se relaciona com uma infecção viral ou imunização; além disso, a encefalopatia aguda é associada a sintomas neurológicos multifocais.  Apresentação do caso: Trata-se de escolar do sexo feminino sem antecedentes patológicos de importância nem evidência de imunizações prévias ao padecimento, com quadro de intolerância à via oral e dados de sonolência além de presença de convulsões e mudanças no comportamento durante a estadia no serviço de emergência, com deterioração do estado de consciência, por isso requer manejo avançado da via aérea e pela clínica avaliada pelo serviço de Neurologia. Este último solicita ressonância magnética e encontra presença de múltiplas lesões hiperintensas que envolvem substância branca arredondada de bordas bem delimitadas. Por isso e pela evolução clínica, inicia-se um esquema com esteroides e por não haver resposta clínica recebe manejo com imunoglobulina intravenosa, posteriormente com recuperação gradual da sintomatologia motora, e é enviada a seguimento na consulta externa com o serviço de neurologia.  Conclusão: Esta patologia constitui um dilema diagnóstico desde a etapa inicial dos sintomas, padecer desta doença quando não diagnosticada ou não tratada de maneira adequada tem maior risco de sequelas devastadoras, embora a parte neurocognitiva seja favorável. Por isso, sempre se deve considerar os diagnósticos diferenciais de pacientes com patologia do sistema nervoso central com antecedentes de imunizações e infecções nas últimas 2 semanas.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[encefalomielitis]]></kwd>
<kwd lng="es"><![CDATA[inmunoglobulina]]></kwd>
<kwd lng="es"><![CDATA[anticuerpos]]></kwd>
<kwd lng="es"><![CDATA[convulsiones]]></kwd>
<kwd lng="es"><![CDATA[somnolencia]]></kwd>
<kwd lng="en"><![CDATA[Encephalomyelitis]]></kwd>
<kwd lng="en"><![CDATA[immunoglobulin]]></kwd>
<kwd lng="en"><![CDATA[antibodies]]></kwd>
<kwd lng="en"><![CDATA[seizures]]></kwd>
<kwd lng="en"><![CDATA[somnolence]]></kwd>
<kwd lng="pt"><![CDATA[encefalomielite]]></kwd>
<kwd lng="pt"><![CDATA[imunoglobulina]]></kwd>
<kwd lng="pt"><![CDATA[anticorpos]]></kwd>
<kwd lng="pt"><![CDATA[convulsões]]></kwd>
<kwd lng="pt"><![CDATA[sonolência]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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