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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.[] 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[] 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[]

  • Hypernatremia

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

  • Hyponatremia

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

  • Paraplegia

    This development led to an evaluation by a neurosurgeon, who noted spasticity and hyperreflexia. Sensory testing demonstrated a possible sensory thoracic level.[] 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.[] SCI has been reported after noncardiac surgery in otherwise healthy subjects in whom only one risks factor i.e. severe hypotension has been documented.[]

  • 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.[] […] case reports about drug fever due to piperacillin/tazobactam with other comorbidities.[] In the emergency department, the patient appeared acutely ill, was febrile, tachycardic, hypotensive, and slow to respond to commands.[]

  • Spinal Epidural Abscess

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

  • Shy Drager Syndrome

    , hyperreflexia, and Babinski sign), cognitive impairment, visual hallucinations, and REM sleep behavior disorder (RBD).[] […] 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[] We suggest that vasopressin may be the drug of choice in patients with Shy-Drager syndrome with refractory hypotension.[]

  • Churg-Strauss Syndrome

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

  • 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[] Over-the-counter (OTC) medicines, like acetaminophen, can help with fever and headaches.[] Shock: signs of shock include tachycardia and/or hypotension, respiratory distress, altered mental state and poor urine output.[]

  • 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[] 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[] He subsequently developed hypotension and was managed with vasopressors.[]

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