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correspondence

Indian Pediatr 2013;50: 344

ADEM Following Malaria


Jagdish Prasad Goyal

Department of Pediatrics, PDU Govt Medical College, Rajkot, Gujarat, India.
Email: [email protected]



I read with interest an article on acute demyelinating encephalomyelitis in a child following malaria [1]. Authors have mentioned that they could not find any report of ADEM following malaria in children. I want to highlight that we have reported a case of ADEM following Plasmodium vivax malaria in a child [2]. It was an extremely rare case as there were case reports of ADEM after P. falciparum malaria but only one case of ADEM after P.vivax malaria was reported prior to our case report [3].

Moreover the present case report does not prove that ADEM was solely due to P. falciparum malaria without any test for CSF viral antigens or viral serology. Most likely it was due to some viral CNS infections which resolved spontaneously.

References

1. Agrawal A, Goyal S. Acute demyelinating encephalomyelitis in a child following malaria. Indian Pediatr. 2012;49:922-3.

2. Goyal JP, Shah VB, Parmar S. Acute disseminated encephalomyelitis after treatment of Plasmodium vivax malaria. J Vector Borne Dis. 2012;49:119-21.

3. Koibuchi T, Nakamura T, Miura T, Endo T, Nakamura H, Takahashi T, et al. Acute disseminated encephalomyelitis following Plasmodium vivax malaria. J Infect Chemother. 2003;9:254-6.

 

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