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362 Possible Causes for Fever, Hypotension, Spasticity - Hyperreflexia

  • Scorpion Sting

    There was a right facial nerve palsy (upper motor neuron type); right spastic hemiplegia with hyperreflexia and extensor plantar response. Fundoscopy was unremarkable.[atmph.org] We describe a 13-year-old girl who, following envenoming by a scorpion, developed recurrent attacks of sharp, intermittent pain in the umbilical region associated with fever[ncbi.nlm.nih.gov] Myocarditis with Hypotension after a Scorpion Sting Maneesha Erraboina 1 , Bucchi Reddy 2 , Mamatha Reddy 3 , Suresh Bandari 1 Department of 1 Pharmacy Practice, Rohini Superspeciality[casereports.in]

  • Hypernatremia

    Muscle twitching, tremor, spasticity, hyperreflexia, and lethargy may also be seen. Coma, seizures, and muscle weakness are later signs.[aneskey.com] The authors describe a 2-year-old boy with a clinical presentation of prolonged fever of unknown origin and severe hypernatremia.[ncbi.nlm.nih.gov] A shunt tap revealed intracranial hypotension with good proximal flow.[ncbi.nlm.nih.gov]

  • Hyponatremia

    They are primarily central nervous system (CNS) manifestations, such as irritability, restlessness, lethargy, muscular twitching, spasticity and hyperreflexia, all of which[aafp.org] A 64-year-old obese woman presented to the hospital emergency service complaining of a high fever, hypertension, and generalized oedema.[ncbi.nlm.nih.gov] After several weeks of suffering from gastroenteritis with vomiting, she presented with disturbance of consciousness, hypotension, dehydration, and severe hyponatremia (108[ncbi.nlm.nih.gov]

  • Paraplegia

    This development led to an evaluation by a neurosurgeon, who noted spasticity and hyperreflexia. Sensory testing demonstrated a possible sensory thoracic level.[medscape.com] A 10-year-old boy was admitted with a 1-month history of progressive back pain and low fever for 7 days as well as sudden onset of paraplegia for 1 day.[ncbi.nlm.nih.gov] SCI has been reported after noncardiac surgery in otherwise healthy subjects in whom only one risks factor i.e. severe hypotension has been documented.[ncbi.nlm.nih.gov]

  • HIV Infection

    Symptoms of myelopathy include weakness and sensory changes; upper motor neuron signs, such as spasticity and hyperreflexia, may also be found. Enlarge Print Table 3.[aafp.org] […] case reports about drug fever due to piperacillin/tazobactam with other comorbidities.[ncbi.nlm.nih.gov] In the emergency department, the patient appeared acutely ill, was febrile, tachycardic, hypotensive, and slow to respond to commands.[pediatrics.aappublications.org]

  • Spinal Epidural Abscess

    WikEM: Epidural abscess (spinal) Motor Neuron Signs Upper Motor Neuron: Spasticity Hyperreflexia Pronator drift Babinski Lower Motor Neuron: Flaccidity Hyporeflexia Fasciculation[ddxof.com] This case presents an 18-year-old female with diabetes mellitus who presented with fever and leg pain.[ncbi.nlm.nih.gov] The hypotension persisted despite 7 l of normal saline and his lactate was elevated (3.7 mmol l 1 ).[nature.com]

  • Shy Drager Syndrome

    , hyperreflexia, and Babinski sign), cognitive impairment, visual hallucinations, and REM sleep behavior disorder (RBD).[doi.org] […] lymph nodes Pain in back and shoulders Neck ache Diarrhea Constipation Impotence Lack of sex drive Urinary incontinence Urgency of urination Breathing problem Sleep apnea Fever[majordiseases.com] We suggest that vasopressin may be the drug of choice in patients with Shy-Drager syndrome with refractory hypotension.[ncbi.nlm.nih.gov]

  • Churg-Strauss Syndrome

    Examination showed spasticity and marked hyperreflexia along with presence of clonus in lower limbs.[n.neurology.org] A 5 years old boy was admitted with cough, fever and dyspnea for 2 weeks.[ncbi.nlm.nih.gov] Hypersensitivity reactions, including anaphylaxis, angioedema, bronchospasm, hypotension, urticaria, rash, have occurred.[fda.gov]

  • AIDS-associated Meningoencephalitis

    On examination, one finds relatively symmetric leg weakness, sensory loss, particularly in vibration and position sense, spasticity and hyperreflexia of both legs, and Babinski[hivinsite.ucsf.edu] Over-the-counter (OTC) medicines, like acetaminophen, can help with fever and headaches.[kidshealth.org] Shock: signs of shock include tachycardia and/or hypotension, respiratory distress, altered mental state and poor urine output.[patient.info]

  • Febrile Infection-Related Epilepsy Syndrome

    13 (37) Hyperreflexia 7 (20) Irritability 7 (20) Tremors 4 (11) Seizures 3 (9) Neuroimaging (27) Any abnormality 27 (100) Calcifications 20 (74) Ventricular enlargement 12[cdc.gov] We report, as exemplification, one of our patients with acute-onset epilepsy triggered by fever with clinical course resembling FIRES, but with a missense mutation of PCDH19[ncbi.nlm.nih.gov] He subsequently developed hypotension and was managed with vasopressors.[neurologyindia.com]

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