Presentation
The diagnosis presented difficulties due to the rarity of this clinical appearance as a primary presentation of GPA. [hindawi.com]
[…] of SLE that presents clinically with confusion, lethargy, seizures, coma, mood changes, and even psychosis. [healio.com]
CNS involvement may even be the first presenting feature in undetected SLE.[2] We report two cases where the history, presenting features, and physical findings, were potentially misleading, causing significant difficulty and delay in diagnosis. [ncbi.nlm.nih.gov]
One such case of a neonate is presented, illustrating the key imaging features and importance of serial neuroimaging. [anncaserep.com]
Presentation History of dermatomyositis presents with a severe headache. Left pyramidal syndrome and fever are documented on admission. [radiopaedia.org]
Entire Body System
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Leg Edema
Phlebitis किसी शिरा की दीवार में सूजन, शिराप्रदाह, शिराशोथ, Besides ulceration, lower leg edema can lead to tortuous varicosities, phlebitis, deep vein thrombosis, embolism, and infection, among others. [studysite.org]
Skin
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Ulcer
शोथ, Endoscopy revealed retained food in the stomach but no evidence of pyloric stenosis, gastritis, or peptic ulcer. [studysite.org]
Further physical examination showed a dermatological finding of punctate palmar erythema, lipstick fingertip staining, and ulceration erythema on her hard palate. [healio.com]
Neurologic
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Cervical Radiculopathy
Neuritis तंत्रिका शोथ, न्युरैटिस, तंत्रिकाशोथ, स्नायु-प्रदाह, तंत्रिका- शोथ, Unlike acute brachial plexus neuritis, the pain, weakness and sensory loss associated with cervical radiculopathy tend to occur simultaneously. [studysite.org]
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Slow Speech
The patient presented with fluctuating mentation, fatigue, psychomotor retardation, anorexia (with 16 lbs of weight loss), dysarthria with word-finding difficulty, slow speech, and unsteady gait. [healio.com]
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Expressive Aphasia
aphasia caused by Streptococcus intermedius brain abscess in an immunocompetent patient. 61 Khaja M...Lominadze G 28176963 2017 33 A 54-year-old male with rapidly progressive neurologic syndrome: Clinicopathologic correlation of a rare diagnosis. 61 [malacards.org]
Workup
Case Presentation Born at 28 weeks, the patient underwent a septic workup for leukocytosis on day of life 7, without a source of infection found, including CSF analysis. The leukocytosis persisted despite 3 weeks of broad antibiotic therapy. [anncaserep.com]
X-Ray
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Pericardial Effusion
Echocardiography reported normal left-ventricular function and minimal pericardial effusion. The patient improved clinically during the first 24 hours and was extubated on the second day. [ncbi.nlm.nih.gov]
Microbiology
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Citrobacter Koseri
Citrobacter Koseri Meningitis: A Neurosurgical Condition?. Eur J Paediatr Neurol. 2010; 14: 360-63. [anncaserep.com]
Colonoscopy
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Colitis
Bunion गोखरू, गोखरू, पैर के अंगूठे की सूजन, अंगुलबेढ़ा, Colitis वृहदान्त्र शोथ, बृहदांत्र शोथ, वृहदान्त्र-शोथ, कोलिटिस, बृहदांत्रशोथ, बड़ी आंत का प्रदाह, Colitis affects the colon / IBS does not lead to colon cancer or ulcerative colitis or any other serious [studysite.org]
Treatment
During the course of the treatment, there were periods of remission and flare up. [dovepress.com]
What we offer is general reference information about various disorders and treatments for your education. [nervous-system-diseases.com]
After the addition of antibiotic treatment in the early 1940s, mortality from brain abscesses decreased over the next 2 decades but remained high. [radiologykey.com]
Antibiotics are the mainstay of treatment. If medical management is inadequate for treatment, other treatment options include abscess drainage and intraventricular urokinase for loculated hydrocephalus. References Barkovich A. [anncaserep.com]
The patient was commenced on intravenous methylprednisolone followed by cyclophosphamide and responded well to treatment. [hindawi.com]
Prognosis
[…] vasogenic edema T1 C : no or minimal heterogeneous enhancement DWI/ADC: restricted diffusion, may be patchy late cerebritis progressive, especially peripheral, enhancement (not well-defined vs abscess) progressive restricted diffusion Treatment and prognosis [radiopaedia.org]
Systemic lupus erythematosus in patients with end-stage renal disease: long-term follow-up on the prognosis of patients and the evolution of lupus activity. Am. J. Kidney Dis. 16, 189–195 (1990). 11 Okano, K. et al. [nature.com]
In our case, the plan changed from a simple burr hole to a craniotomy and the prognosis changed from better to worse! [mjdrdypu.org]
Etiology
Usually history provides a clue and in our case it literally guided us in a wrong direction, making us believe in favor of an infective etiology first. [mjdrdypu.org]
Neurology recommended continuation of infectious and metabolic investigations, with consultation of Psychiatry for possible psychogenic etiology. [healio.com]
Cerebritis can result from a variety of etiological factors, including pyogenic infection, and if left untreated in this setting leads to pyogenic brain abscess formation. [radiologykey.com]
In about 30% of cases no obvious etiology for infection can be determined6. Except in infants, brain abscesses are almost never sequelae from meningitis6. [ncbi.nlm.nih.gov]
Epidemiology
The epidemiologic trends of brain abscess are changing. Brain abscess is uniformly more common among males than females for unknown reasons, and most commonly occurs during the first 4 decades of life, although all age groups may be affected. [radiologykey.com]
Epidemiology Frequency United States The etiology, incidence, and outcome of brain abscess vary greatly across populations. [emedicine.medscape.com]
History Part 2: Prevalence: Epidemiology Estimated incidence of 0.3 to 1.3 per 100,000 people per year. This rate is increased in immunocompromised patients. [cancertherapyadvisor.com]
Pathophysiology
Encephalitis, cerebritis, and brain abscess: pathophysiology and imaging findings. Neuroimaging Clin N Am. 2000;10(2):333-53. Falcone, S., & Post, M. J. (2000). Encephalitis, cerebritis, and brain abscess: pathophysiology and imaging findings. [unboundmedicine.com]
Saunders Ltd", number "2", } TY - JOUR T1 - Encephalitis, cerebritis, and brain abscess T2 - Pathophysiology and imaging findings AU - Falcone, Steven AU - Judith Post, M. [miami.pure.elsevier.com]
The exact pathophysiological process of lupus cerebritis is unknown. The proposed mechanisms are likely due to the assault of several autoimmune system changes, including the following: Circulating immune complexes. [en.wikipedia.org]
Prevention
Prevention of S. aureus is highly important in hemodialysis patients. The full text of this article hosted at iucr.org is unavailable due to technical difficulties. [onlinelibrary.wiley.com]
Some pathogens are also capable of passing over the blood–brain barrier and entering the brain through the bloodstream, despite the fact that the body has evolved defenses which are specifically designed to prevent this. [en.wikipedia.org]
Review of the literature and guidelines for prevention. Int. J. Artif. Organs 17, 5–13 (1994). 10 Cheigh, J. S. et al. [nature.com]