A case of Staphylococcus aureus meningitis associated with cryoglobulin-related renal failure and clinically mild encephalitis/encephalopathy with a reversible splenial lesion.
Identifieur interne : 001131 ( PubMed/Curation ); précédent : 001130; suivant : 001132A case of Staphylococcus aureus meningitis associated with cryoglobulin-related renal failure and clinically mild encephalitis/encephalopathy with a reversible splenial lesion.
Auteurs : Koji Shimozono ; Hideki Korenaga ; Reiko Mawatari ; Naoki TsukishimaSource :
- Rinsho shinkeigaku = Clinical neurology [ 1882-0654 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Antibactériens (administration et posologie), Cryoglobulines, Cryoglobulinémie (étiologie), Dialyse rénale, Encéphalite (), Encéphalite (diagnostic), Encéphalite (étiologie), Humains, Imagerie par résonance magnétique, Infections à staphylocoques, Insuffisance rénale (), Insuffisance rénale (diagnostic), Insuffisance rénale (étiologie), Mâle, Méningite bactérienne (), Méningite bactérienne (diagnostic), Méningite bactérienne (microbiologie), Méthylprednisolone (administration et posologie), Pharmacothérapie administrée en bolus, Résultat thérapeutique, Spondylite (), Spondylite (diagnostic), Spondylite (microbiologie), Staphylococcus aureus.
- MESH :
- administration et posologie : Antibactériens, Méthylprednisolone.
- diagnostic : Encéphalite, Insuffisance rénale, Méningite bactérienne, Spondylite.
- microbiologie : Méningite bactérienne, Spondylite.
- étiologie : Cryoglobulinémie, Encéphalite, Insuffisance rénale.
- Adulte d'âge moyen, Cryoglobulines, Dialyse rénale, Encéphalite, Humains, Imagerie par résonance magnétique, Infections à staphylocoques, Insuffisance rénale, Mâle, Méningite bactérienne, Pharmacothérapie administrée en bolus, Résultat thérapeutique, Spondylite, Staphylococcus aureus.
English descriptors
- KwdEn :
- Anti-Bacterial Agents (administration & dosage), Cryoglobulinemia (etiology), Cryoglobulins, Encephalitis (diagnosis), Encephalitis (etiology), Encephalitis (therapy), Humans, Magnetic Resonance Imaging, Male, Meningitis, Bacterial (complications), Meningitis, Bacterial (diagnosis), Meningitis, Bacterial (microbiology), Meningitis, Bacterial (therapy), Methylprednisolone (administration & dosage), Middle Aged, Pulse Therapy, Drug, Renal Dialysis, Renal Insufficiency (diagnosis), Renal Insufficiency (etiology), Renal Insufficiency (therapy), Spondylitis (complications), Spondylitis (diagnosis), Spondylitis (microbiology), Spondylitis (therapy), Staphylococcal Infections, Staphylococcus aureus, Treatment Outcome.
- MESH :
- chemical , administration & dosage : Anti-Bacterial Agents, Methylprednisolone.
- complications : Meningitis, Bacterial, Spondylitis.
- diagnosis : Encephalitis, Meningitis, Bacterial, Renal Insufficiency, Spondylitis.
- etiology : Cryoglobulinemia, Encephalitis, Renal Insufficiency.
- microbiology : Meningitis, Bacterial, Spondylitis.
- therapy : Encephalitis, Meningitis, Bacterial, Renal Insufficiency, Spondylitis.
- chemical : Cryoglobulins, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Pulse Therapy, Drug, Renal Dialysis, Staphylococcal Infections, Staphylococcus aureus, Treatment Outcome.
Abstract
A 59-years old man, having untreated hypertension and diabetes, was admitted to our hospital because of lumbago and fever. A T2-weighted image of spine showed increased signal intensity of vertebra at L3 and L4. Methicillin-susceptible staphylococcus aureus (MSSA) infection was confirmed by blood culturing. Cerebrospinal fluid (CSF) analysis showed pleocytosis. Diagsosis of pyogenic spondylitis with bacterial meningitis was made. Diffusion-weighted magnetic imaging of the brain disclosed a focal hyperintense lesion in the corpus callosum which showed a low coefficient in the apparent diffusion coefficient mapping. This finding suggests a clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS). His symptoms temporarily ameliorated by antibiotic therapy. Two weeks later, however, his conscious level rapidly worsened to comatose state. Concomitantly he developed acute renal failure with severe proteinuria. Serum serology showed a positive cryoglobulin test. Mechanical ventilation, hemodialysis and steroid pulse therapy improved his consciousness with a resultant complete recovery of all symptoms. We emphasize the possible complications in some cases of MERS.
DOI: 10.5692/clinicalneurol.cn-000824
PubMed: 27151224
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Koji Shimozono<affiliation><nlm:affiliation>Department of Internal Medicine, Otemachi Hospital.</nlm:affiliation><wicri:noCountry code="subField">Otemachi Hospital</wicri:noCountry></affiliation>Le document en format XML
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moyen</term><term>Cryoglobulines</term><term>Dialyse rénale</term><term>Encéphalite</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Infections à staphylocoques</term><term>Insuffisance rénale</term><term>Mâle</term><term>Méningite bactérienne</term><term>Pharmacothérapie administrée en bolus</term><term>Résultat thérapeutique</term><term>Spondylite</term><term>Staphylococcus aureus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A 59-years old man, having untreated hypertension and diabetes, was admitted to our hospital because of lumbago and fever. A T2-weighted image of spine showed increased signal intensity of vertebra at L3 and L4. Methicillin-susceptible staphylococcus aureus (MSSA) infection was confirmed by blood culturing. Cerebrospinal fluid (CSF) analysis showed pleocytosis. Diagsosis of pyogenic spondylitis with bacterial meningitis was made. Diffusion-weighted magnetic imaging of the brain disclosed a focal hyperintense lesion in the corpus callosum which showed a low coefficient in the apparent diffusion coefficient mapping. This finding suggests a clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS). His symptoms temporarily ameliorated by antibiotic therapy. Two weeks later, however, his conscious level rapidly worsened to comatose state. Concomitantly he developed acute renal failure with severe proteinuria. Serum serology showed a positive cryoglobulin test. Mechanical ventilation, hemodialysis and steroid pulse therapy improved his consciousness with a resultant complete recovery of all symptoms. We emphasize the possible complications in some cases of MERS.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27151224</PMID><DateCompleted><Year>2017</Year><Month>03</Month><Day>23</Day></DateCompleted><DateRevised><Year>2017</Year><Month>10</Month><Day>12</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1882-0654</ISSN><JournalIssue CitedMedium="Internet"><Volume>56</Volume><Issue>5</Issue><PubDate><Year>2016</Year><Month>05</Month><Day>31</Day></PubDate></JournalIssue><Title>Rinsho shinkeigaku = Clinical neurology</Title><ISOAbbreviation>Rinsho Shinkeigaku</ISOAbbreviation></Journal><ArticleTitle>A case of Staphylococcus aureus meningitis associated with cryoglobulin-related renal failure and clinically mild encephalitis/encephalopathy with a reversible splenial lesion.</ArticleTitle><Pagination><MedlinePgn>318-22</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.5692/clinicalneurol.cn-000824</ELocationID><Abstract><AbstractText>A 59-years old man, having untreated hypertension and diabetes, was admitted to our hospital because of lumbago and fever. A T2-weighted image of spine showed increased signal intensity of vertebra at L3 and L4. Methicillin-susceptible staphylococcus aureus (MSSA) infection was confirmed by blood culturing. Cerebrospinal fluid (CSF) analysis showed pleocytosis. Diagsosis of pyogenic spondylitis with bacterial meningitis was made. Diffusion-weighted magnetic imaging of the brain disclosed a focal hyperintense lesion in the corpus callosum which showed a low coefficient in the apparent diffusion coefficient mapping. This finding suggests a clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS). His symptoms temporarily ameliorated by antibiotic therapy. Two weeks later, however, his conscious level rapidly worsened to comatose state. Concomitantly he developed acute renal failure with severe proteinuria. Serum serology showed a positive cryoglobulin test. Mechanical ventilation, hemodialysis and steroid pulse therapy improved his consciousness with a resultant complete recovery of all symptoms. We emphasize the possible complications in some cases of MERS.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Shimozono</LastName><ForeName>Koji</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Internal Medicine, Otemachi Hospital.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Korenaga</LastName><ForeName>Hideki</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Mawatari</LastName><ForeName>Reiko</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Tsukishima</LastName><ForeName>Naoki</ForeName><Initials>N</Initials></Author></AuthorList><Language>jpn</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>04</Month><Day>28</Day></ArticleDate></Article><MedlineJournalInfo><Country>Japan</Country><MedlineTA>Rinsho Shinkeigaku</MedlineTA><NlmUniqueID>0417466</NlmUniqueID><ISSNLinking>0009-918X</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000900">Anti-Bacterial Agents</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D003450">Cryoglobulins</NameOfSubstance></Chemical><Chemical><RegistryNumber>X4W7ZR7023</RegistryNumber><NameOfSubstance UI="D008775">Methylprednisolone</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000900" MajorTopicYN="N">Anti-Bacterial Agents</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="N">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003449" MajorTopicYN="N">Cryoglobulinemia</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003450" MajorTopicYN="Y">Cryoglobulins</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004660" MajorTopicYN="N">Encephalitis</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008279" MajorTopicYN="N">Magnetic Resonance Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016920" MajorTopicYN="N">Meningitis, Bacterial</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000382" MajorTopicYN="Y">microbiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008775" MajorTopicYN="N">Methylprednisolone</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="N">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020551" MajorTopicYN="N">Pulse Therapy, Drug</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006435" MajorTopicYN="N">Renal Dialysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D051437" MajorTopicYN="N">Renal Insufficiency</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013166" MajorTopicYN="N">Spondylitis</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013203" MajorTopicYN="Y">Staphylococcal Infections</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013211" MajorTopicYN="Y">Staphylococcus aureus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>5</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>5</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>3</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27151224</ArticleId><ArticleId IdType="doi">10.5692/clinicalneurol.cn-000824</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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