Abstract
A 44-year-old man developed blurry vision, photosensitivity, orthostasis, constipation, and acrodysesthesias after a febrile illness. The neurologic examination and ancillary studies were consistent with a dysautonomic small fiber neuropathy. The cerebrospinal fluid (CSF) contained both Epstein-Barr virus (EBV) DNA and antibody to EBV. This is the first report of an acute autonomic neuropathy with documented EBV infection in CSF.
Publication types
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Case Reports
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Research Support, U.S. Gov't, P.H.S.
MeSH terms
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Adult
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Antibodies, Viral / cerebrospinal fluid
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Autonomic Nervous System Diseases / cerebrospinal fluid
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Autonomic Nervous System Diseases / virology*
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Base Sequence
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DNA, Viral / cerebrospinal fluid
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Herpesviridae Infections / cerebrospinal fluid
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Herpesviridae Infections / virology
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Herpesvirus 4, Human / genetics*
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Herpesvirus 4, Human / immunology*
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Humans
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Male
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Molecular Sequence Data
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Oligonucleotide Probes / genetics
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Polymerase Chain Reaction
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Tumor Virus Infections / cerebrospinal fluid
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Tumor Virus Infections / virology
Substances
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Antibodies, Viral
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DNA, Viral
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Oligonucleotide Probes