A 20-year-old pregnant woman was admitted to this hospital at 26 weeks of gestation because of dizziness, confusion, and difficulty walking.
Ten weeks before admission, the patient had a positive result on a home pregnancy test and presented to a neighborhood health center for prenatal screening. Tests for sickle cell trait, syphilis, and human immunodeficiency virus (HIV) and hepatitis B and C virus antibodies were negative. Serologic tests for varicella–zoster virus and rubella IgG were positive. Two weeks later, an endocervical specimen was positive for Chlamydia trachomatis infection and negative for gonorrhea. The patient missed follow-up appointments, and treatment with azithromycin was initiated 4 weeks later. (...)Diagnosis: Subacute sclerosing panencephalitis secondary to measles virus infection.
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