A Case of Adult Mumps Meningoencephalitis with a Past Measles-Mumps-Rubella (MMR) Vaccination

J Korean Neurol Assoc > Volume 24(1); 2006 > Article

Journal of the Korean Neurological Association 2006;24(1): 82-84.

과거 MMR 예방접종을 했던 성인 남자의 볼거리 뇌염

홍지만, 정기영a 윤진영a 박민수 전동철 이승재

국군수도병원 신경과, 성균관대학교 의과대학 삼성서울병원 신경과a

A Case of Adult Mumps Meningoencephalitis with a Past Measles-Mumps-Rubella (MMR) Vaccination

Ji Man Hong

Department of Neurology, Armed Forces Capital Hospital, Seongnam; Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicinea, Seoul, Korea

Abstract

When dealing with a mumps infection, the complication of meningoencephalitis is quite rare. A 24-year-old soldier with a past MMR vaccination was admitted because of aseptic meningitis. His cognitive functioning was rapidly deteriorating with the swelling of both parotid glands. MR findings revealed discrete lesions in the brainstem and thalamus. He barely recovered within 2 months. Among adults with a failure to get the immunity despite vaccination, institutional crowding can lead to a fatal CNS complication such as mumps meningoencephalitis.