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{
    "pk": 1005,
    "title": "Acute Demyelinating Encephalomyelitis Following Measles Infection Due to Vaccine Failure: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n Local outbreaks of measles infection are primarily mediated by international travel of persons from endemic areas, with subsequent spread of the virus via undervaccinated populations. Recent resurgences of measles in communities where vaccination rates are non-ideal secondary to philosophical objections require the emergency physician to more routinely consider the diagnosis. In cases of measles complicated by acute encephalitis or encephalopathy, the diagnosis can be especially difficult to make due to lack of a reliable primary historian.\nCase report:\n Here we present a case of altered mental status and new-onset bilateral lower extremity weakness in a fully vaccinated young woman diagnosed with measles infection caused by acute disseminated encephalomyelitis in the setting of vaccine failure.\nConclusion:\n Despite a documented history of immunization, acute measles infection and its uncommon sequelae are possible. Recognizing vaccine failure and appropriately isolating patients are of paramount importance.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Measles"
        },
        {
            "word": "acute demyelinating encephalomyelitis"
        },
        {
            "word": "vaccine failure"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4nj8j8mk",
    "frozenauthors": [
        {
            "first_name": "Robert",
            "middle_name": "J.",
            "last_name": "McMickle",
            "name_suffix": "",
            "institution": "Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California",
            "department": "None"
        },
        {
            "first_name": "Lauren",
            "middle_name": "",
            "last_name": "Fryling",
            "name_suffix": "",
            "institution": "Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California",
            "department": "None"
        },
        {
            "first_name": "Ross",
            "middle_name": "J.",
            "last_name": "Fleischman",
            "name_suffix": "",
            "institution": "Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California",
            "department": "None"
        }
    ],
    "date_submitted": "2021-03-25T10:18:03+08:00",
    "date_accepted": "2021-03-25T10:18:03+08:00",
    "date_published": "2021-03-25T10:19:00+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1005/galley/752/download/"
        }
    ]
}