Acute disseminated encephalomyelitis in typhoid fever.

Ramachandran, Sabarinathan; Wickremesinghe, H. R.; Perera, M. V. F.

doi:10.1136/bmj.1.5956.494

Cited by 17 publications

(7 citation statements)

References 3 publications

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“…It is typically preceded by an infection or vaccination. Salmonella infection has been reported as an immunological trigger for ADEM, as in our case (4).…”

Section: Discussionmentioning

confidence: 85%

Tek Hemisferi Tutan Akut Dissemine Ensefalomiyelit: Olgu Sunumu

Durmuş¹,

Türkoğlu²,

Tüzün³

2011

Npa

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ÖZETAkut dissemine ensefalomiyelit (ADEM), nadir görülen, ço¤u zaman viral veya bakteriyal bir enfeksiyonu ya da afl›lanmay› takiben geliflen, merkezi sinir sisteminin (MSS) idyopatik inflamatuar demiyelinizan bir hastal›¤›d›r. Karakteristik olarak, ADEM akut ensefalopatiye efllik eden multifocal nörolojik belirti ve bulgular ile kendini gösterir. Özgül bir biyolojik belirtecin yoklu¤u nedeniyle, görüntüleme yöntemleri ADEM tan›s›nda önem kazanmaktad›r. ADEM'in tipik MR görüntüleme bulgular›; büyük, birden çok, neredeyse simetrik ak madde lezyonlar›d›r. Bu yaz›da; 31 yafl›nda, bir enfeksiyonu izleyen dönemde, bafl a¤r›s›, konfüzyon, sol hemiparezi ve hemihipoestezi baflvuran bir kad›n hasta sunulacakt›r. Hasta, intravenöz metilprednizolon tedavisi sonras› tamamen normale dönmüfl ve izleyen befl y›l boyunca yeni bir yak›nmas› olmam›flt›r. MR görüntülemelerinde gözlenen ADEM için tipik ancak tek hemisferi tutan lezyonlar dissemine ensefalomiyelit spekturumunu geniflletmektedir. (Nöropsikiyatri Arflivi 2010; 47: 166-8) Anahtar kelimeler: Akut dissemine ensefalomiyelit, tek yanl›, demiyelinizasyon, manyetik rezonans görüntüleme ABSTRACT Acute disseminated encephalomyelitis (ADEM) is a rare idiopathic inflammatory demyelinating disease of the central nervous system (CNS), which usually occurs following a viral or bacterial infection, or vaccination. Characteristically, ADEM presents with acute encephalopathy with accompanying multifocal neurological symptoms and signs. Due to unavailability of a specific biological marker, neuroimaging is very important in establishing the diagnosis of ADEM. The typical magnetic resonance imaging findings of ADEM are large, multiple and almost symmetrical white matter lesions. Herein, we report a 31-year-old woman presenting with headache, confusion, left hemiparesis and hemihypoesthesia preceded by an infection. The patient fully recovered after intravenous methylprednisolone treatment. MRI revealed white-matter lesions that were typical for ADEM, but the unihemispheric involvment broadened the spectrum of disseminated encephalomyelitis. (Archives of Neuropsychiatry 2010; 47: 166-8)

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“…It is typically preceded by an infection or vaccination. Salmonella infection has been reported as an immunological trigger for ADEM, as in our case (4).…”

Section: Discussionmentioning

confidence: 85%

Tek Hemisferi Tutan Akut Dissemine Ensefalomiyelit: Olgu Sunumu

Durmuş¹,

Türkoğlu²,

Tüzün³

2011

Npa

View full text Add to dashboard Cite

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“…Metabolic disturbances, toxaemia, hyperpyrexia and non-specific central nervous system changes such as oedema and haemorrhage have been incriminated. 8,12 Because of its acute onset, self-limiting course and CSF pleocytosis, a para-or post-infectious demyelinating process has been postulated as the mechanism for ataxia. 7 Management of enteric fever with ataxia requires only appropriate antibiotics.…”

Section: Discussionmentioning

confidence: 99%

Isolated cerebellar ataxia: an early neurological complication of enteric fever

Dewan

Pooniya

Kaushik

et al. 2009

Annals of Tropical Paediatrics

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“…The two most common complications of enteric fever are intestinal hemorrhage and perforation 21 . Among other complications, pancreatitis and simultaneous acute renal failure and hepatitis, cholangitis, meningism, encephalomyelitis, subclinical disseminated intravascular coagulation, osteomyelitis, arthritis have been reported [22][23][24][25][26] . Early antibiotic therapy has reduced the rate of these systemic complications transforming a previously life threatening illness into a short time febrile illness with negligible fatality.…”

Section: Discussionmentioning

confidence: 99%

Enteric Myocarditis: A Case Report

Mahmud

Musa

Ahmed

et al. 2009

Ibrahim Med. Coll. J.

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Enteric fever commonly causes fatality from abdominal complications or toxemia but it can also cause death from complications of myocarditis albeit rarely. In September, 2005 a 22 year old man was admitted in BIRDEM with the features of pneumonia. Later on, the patient developed acute left ventricular failure and ultimately diagnosed as a case of drug resistant enteric fever with myocarditis Ibrahim Med. Coll.

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Acute disseminated encephalomyelitis in typhoid fever.

Cited by 17 publications

References 3 publications

Tek Hemisferi Tutan Akut Dissemine Ensefalomiyelit: Olgu Sunumu

Tek Hemisferi Tutan Akut Dissemine Ensefalomiyelit: Olgu Sunumu

Isolated cerebellar ataxia: an early neurological complication of enteric fever

Enteric Myocarditis: A Case Report

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