Unusual association of diseases/symptoms: Otitis and autism spectrum disorders

Unusual association of diseases/symptoms: Otitis and autism spectrum disorders

Persons using assistive technology might not be able to fully access information in this file. For assistance, please send e-mail to: mmwrq@cdc.gov. There are two types of herpes simplex viruses. Dr. It would also include “quasi-autism,” which has been found in early deprivation studies, autism in preterm children, and cases of late-onset autism presenting after herpes encephalitis infection. While it is possible that not all autistic behaviour in this child may be due to mechanical obstruction in the middle ear, we can state that it did influence the prognosis, given that during these years the child was deprived of proper sensory stimulation. All five persons had been vaccinated during June 10–July 25.

This report describes the clinical and epidemiologic features of these five cases and summarizes preliminary data from ongoing studies. Between the 1930s and 1970s there existed a theory of a ‘unitary’ psychoses of childhood that included the concepts of childhood autism and schizophrenia.7,8 Beginning in the 1970s the need to differentiate these disorders appeared. The impact of tics can be quite variable, ranging from minimal to devastating, depending on their psychosocial and physical impact. Three symptom domains (social, communication, and repetitive behavior) are condensed into two domains (social-communication and repetitive behaviors). Currently the diagnoses of autistic disorder and Asperger’s syndrome are based in clinical practice.9 Autism spectrum disorders are characterised by a qualitative change in social interaction, restrictions on verbal and non-verbal communication, lack of emotional expression and stereotyped behaviours. Sixteen days after vaccination, he was hospitalized, and nerve conduction studies (NCS) of upper and lower extremities, 2 days after onset of symptoms, were consistent with GBS. He was observed for 3 days, discharged, and then readmitted 2 days later with bilateral facial weakness and increasing lower extremity weakness.

In Asperger’s syndrome the main deficiency is an inability to communicate effectively and participate in social interaction. Education of the patient and family is an essential part of therapy. As the number of publications continues to increase, the number of cases that contradict the codified concept of autism continues to rise. Differential diagnosis of a disorder within the autistic syndrome must be made with attention to emotional and sensory deprivation, neurosensory deficits, mental retardation, progressive encephalopathy and Rett syndrome. His facial palsy and gait improved, and his reflexes returned. He was discharged home. This case study involves a 5-year-old child born in London who received follow-up treatment in child psychiatry in Spain for 2 years due to delay in language development and disorders of conduct.

Unusual association of diseases/symptoms: Otitis and autism spectrum disorders
Provisional Tic Disorder is a newly recommended term established to designate an individual with ongoing fluctuating motor and/or vocal tics that began before age 18 years and have been present for less than one year. Helt et al. During his stay in London, the child was examined by many paediatricians, paediatric neurologists and psychiatrists, who diagnosed the child as having autism spectrum disorder because of the presence of a qualitative change in social interaction, a qualitative alteration in communication, restricted and stereotyped behaviour patterns and activities, delay in the language used for social communication and lack of imaginative play. Thirty-two days after vaccination, he was hospitalized with bilateral muscle weakness of upper and lower extremities with absent DTRs. NCS was consistent with GBS. Professionals from the school suspected hearing loss due to difficulties in social interaction. Coprolalia, the use of obscene words or socially unacceptable language, is one of the most socially distressing symptoms, but is not a diagnostic criterion.

The first study mentioning the possibility of individuals with ASD “losing” the ASD diagnosis was presented by Rutter [16]. The psychologist referred the child to the San Carlos Clinical Hospital. On discharge, his motor strength and gait were improved. Case 3. We decided to refer the case to otolaryngology services to assess the possibility of surgery, given the existence of frequent repetitive otitis and otalgia refractory to symptomatic treatment. Tics have a waxing and waning course and fluctuation of symptoms are expected. Zappella [21] reported that 7.3% of a sample of 534 cases “outgrew” their autism and fully recovered their intellectual and social abilities.

Although he did not maintain eye contact, he was reactive to stimuli, responding when spoken to and did not show evidence of stereotypies or mannerisms. During both episodes, she was treated with intravenous immunoglobulin and completely recovered. Fourteen days after vaccination with MCV4, she reported numbness of toes and tongue and had a lump in her throat. The child played spontaneously during the interview, and was affectionate and loving with his mother as well as the therapists at the end of the interview. There are currently no available diagnostic blood tests, brain scans or genetic screens. 42 months). There is an improvement in his language shown by the disappearance of echolalia, improved literacy, virtual absence of stereotypies and mannerisms, and reduced episodes of self-aggressive behaviour.

Case 4. A female aged 18 years was vaccinated with MCV4. Approximately 70% of children have had an episode of otitis media. The use of the term “stereotyped” is not favored. In their comprehensive review, Helt et al. While it is possible that not all autistic behaviour in this child may be due to mechanical obstruction in the middle ear, we can state with some certainty that it influenced the prognosis, given that during these years the child was deprived of proper sensory stimulation. Previous medical history included mild ulcerative colitis that had been asymptomatic off medications; she did not report having diarrhea during the 6 weeks before onset of muscle weakness.

Her only outpatient medications were oral contraceptives. Given the dramatic improvement made by the patient over the course of 1 month after surgery, we can conclude that it is important to observe the longitudinal evolution of a patient in order to correctly diagnose the child as having an autistic spectrum disorder.

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