Fatal Measles Inclusion-Body Encephalitis in Adult with Untreated AIDS, France

Emerg Infect Dis. 2020 Sep;26(9):2231-2234. doi: 10.3201/eid2609.200366.

Abstract

We report a fatal case of measles inclusion-body encephalitis occurring in a woman from Romania with AIDS. After an extensive but unsuccessful diagnostic evaluation, a pan-pathogen shotgun metagenomic approach revealed a measles virus infection. We identified no mutations previously associated with neurovirulence.

Keywords: France; HIV/AIDS and other retroviruses; MIBE; brain biopsy; measles inclusion-body encephalitis; meningitis/encephalitis; metagenomic; viruses.

MeSH terms

  • Acquired Immunodeficiency Syndrome*
  • Adult
  • Brain / diagnostic imaging
  • Female
  • France
  • Humans
  • Measles virus / genetics
  • Measles* / diagnosis
  • Romania
  • Subacute Sclerosing Panencephalitis*