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ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2025

Myelin-oligodendrocyte glycoprotein (MOG) antibody-associated acute disseminated encephalomyelitis (ADEM) in an adult with dengue.

Leonardo Torioni, Isidro Gonzales Quispe, Michel Elyas Jung Haziot, Mariana Vaz-Curado, Rene L M Rivero, José Ernesto Vidal

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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Leonardo TorioniDepartamento de Neurologia, Instituto de Infectologia Emílio Ribas, São Paulo, Brazil. Torioni.lt@gmail.com.ORCID http://orcid.org/0009-0008-8183-6067
Isidro Gonzales QuispeDepartamento de Neurologia, Instituto de Infectologia Emílio Ribas, São Paulo, Brazil.
Michel Elyas Jung HaziotDepartamento de Neurologia, Instituto de Infectologia Emílio Ribas, São Paulo, Brazil.
Mariana Vaz-CuradoPrograma de Residência Médica em Infectologia, Instituto de Infectologia Emílio Ribas, São Paulo, Brazil.
Rene L M RiveroSetor de Radiologia, Divisão de Apoio ao Diagnóstico e Terapêutica, Instituto de Infectologia Emílio Ribas, São Paulo, Brazil.
José Ernesto VidalDepartamento de Neurologia, Instituto de Infectologia Emílio Ribas, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-7830-8716

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dengue is the most worldwide arbovirus and uncommonly causes encephalitis or acute disseminated encephalomyelitis (ADEM). Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) has recently been recognized as a spectrum of monophasic or relapsing course demyelininating syndromes. We present the first case of MOGAD ADEM in an adult with dengue from Brazil. The patient was a 21-year-old man with no relevant medical or epidemiological history and a confirmed diagnosis of dengue with no warning signs after three days of classical clinical manifestations. In the next days, the patient had lower limb weakness, acute urinary retention, diplopia, sonolence, and mental confusion. MRI showed multiple cerebral and spinal cord lesions compatible with ADEM. CSF analysis demonstrated pleocytosis (135 WBC/μL) and elevated protein (155 mg/L). Dengue-IgM antibodies were positive in the CSF. Serum MOG-IgG cell-based immunofluorescence assay was positive with a titer >1:160. The patient received methylprednisolone for five days, showing progressive and unequivocal improvement of neurological manifestations and he was discharged with oral prednisone This report suggests an emerging association between dengue induced immune dysregulation and the development of MOGAD-associated ADEM. The presence of MOG antibodies should be considered in adults with dengue-related ADEM and timely syndromic management may determine favorable outcomes.

Indexed as

AutoantibodiesDengueEncephalomyelitis, Acute DisseminatedMyelin-Oligodendrocyte GlycoproteinHumansMagnetic Resonance ImagingMaleYoung AdultAutoantibodiesMyelin-Oligodendrocyte GlycoproteinAcute disseminated encephalomyelitisBrazilDengueEncephalitisMyelin-oligodendrocyte glycoprotein

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.