[Febrile ciguatera with corpus callosum involvment].

Autor: Martins-Bexiga A; Service de médecine interne et polyvalente, centre hospitalier de Polynésie française, 98713 Pirae, Tahiti, French Polynesia., Franconieri F; Service de médecine interne et polyvalente, centre hospitalier de Polynésie française, 98713 Pirae, Tahiti, French Polynesia., Oehler E; Service de médecine interne et polyvalente, centre hospitalier de Polynésie française, 98713 Pirae, Tahiti, French Polynesia. Electronic address: erwan.oehler@cht.pf.
Jazyk: francouzština
Zdroj: La Revue de medecine interne [Rev Med Interne] 2024 Oct; Vol. 45 (10), pp. 656-659. Date of Electronic Publication: 2024 Jun 17.
DOI: 10.1016/j.revmed.2024.05.020
Abstrakt: Introduction: Ciguatera is a food poisoning caused by marine organisms and has a polymoprhic clinic. Differential diagnoses need to be eliminated.
Observation: A patient was hospitalized for a febrile syndrome a few days after the appearance of clinical signs suggestive of ciguatera after consuming lagoon fish. He also presented with central neurological signs and brain MRI revealed a lesion of the corpus callosum. A skin infection linked to the scratching lesions was the cause of this febrile state and a diagnosis of CLOCCS was made based on the lesions on MRI.
Conclusion: A central neurological involvement in ciguatera is possible but rare, CLOCCS may be one of them. On the other hand, a febrile syndrome should lead to consider an differential diagnosis or a complication.
(Copyright © 2024 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE