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Microbiology Immunology 02683519

A pediatric patient with progressively developing degenerative neurologic disease/disorder has an elevated CSF antibody titer to measles virus. You should suspect which of the following?

A
Acute Lyme disease
B
Fifth disease
C
Possible hepatitis B infection
D
Possible subacute sclerosing panencephalitis (SSPE)
High-Yield Explanation
SSPE is thought to be caused by a measles-related virus present in the central nervous system. Most SSPE patients show elevated measles virus antibodies in serum and CSF. In patients with MS, lower CSF antibody titers have been observed, suggesting a possible etiologic role for measles virus in MS.

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