A 14-year-old boy presented with incomplete transverse myelopathic symptoms associated with mild encephalitis. Magnetic resonance imaging (MRI) revealed involvement of the central portion of spinal cord extending from the C1 to T5 level on T2-weighted images with expansion of the cervical spinal cord. The boy made a full clinical recovery in a few weeks. Cultures of the pharyngeal exudate were positive for ECHO virus type 11. The lesion on MRI disappeared completely in a few months.

Adolescent↗

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Impaired response to HBcAg in a hepatitis B virus carrier.

Hepatitis B virus (HBV) carriers usually produce antibody to HB core antigen (anti-HBc). We present the case of an HBV carrier who has lacked anti-HBc for a 2-year observation period. Antibody titers against several common viruses (herpes simplex virus-1, varizella-zoster virus and Epstein-Barr virus) were detected in his serum. His lymphocytes proliferated in vitro in response to phytohemagglutinin and concanavalin A. In contrast to other naturally immune or chronic HBV carriers, anti-HBc was not produced by his peripheral mononuclear cells (PBMC) in culture supernatant of pokeweed mitogen-induced anti-HBc production system. These results suggested that he was in a state of impaired specific antibody response to HB core antigen (HBcAg).

Carrier State↗