کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5630325 1580366 2017 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Short communicationSuspected bacterial meningomyelitis: The first presenting clinical feature of neuromyelitis optica spectrum disorder
ترجمه فارسی عنوان
ارتباط کوتاه ارتباط بین مننژومیلیت باکتریایی: نخستین ویژگی بالینی اختلال طیف اپیچی نورومیلیت
موضوعات مرتبط
علوم زیستی و بیوفناوری ایمنی شناسی و میکروب شناسی ایمونولوژی
چکیده انگلیسی


- Patient presents with suspected bacterial meningomyelitis
- CSF and blood tests for bacteria, fungi, tuberculosis, antinuclear antibody all negative
- MRI revealed several vertebral transverse and area postrema lesions.
- Test for serum anti-aquaporin-4 antibody is positive.
- Diagnosis may support hypothesis that pathogenesis of NMO triggered by infection.

A rare case of neuromyelitis optica spectrum disorder, suspected to be bacterial meningomyelitis as the initial manifestation, is reported. The patient presented with initial symptoms of meningomyelitis and fever. Cerebrospinal fluid analysis revealed pleocytosis (1280 × 106/L [98% lymphocytes]) and glucose level of 1.8 mmol/L. Magnetic resonance imaging revealed > 3 vertebral, longitudinally extensive transverse myelitis and area postrema lesions. Right optic neuritis was experienced 20 months after the first attack. Serum anti-aquaporin-4 antibody was positive, and a diagnosis of neuromyelitis optica spectrum disorder was made, supporting the hypothesis that the pathogenesis of neuromyelitis optica is triggered by infection.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Neuroimmunology - Volume 309, 15 August 2017, Pages 68-71
نویسندگان
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