Disseminated Central Nervous System Nocardiosis
Autor: | Megdad Zaatreh, Wael Alabulkarim |
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Rok vydání: | 2006 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Cranial nerves Central nervous system Nocardiosis General Medicine Deep Tendon Reflex medicine.disease Tacrolimus Surgery medicine.anatomical_structure Prednisone Magnetic resonance imaging of the brain Medicine Actinomycosis business medicine.drug |
Zdroj: | New England Journal of Medicine. 354:2802-2802 |
ISSN: | 1533-4406 0028-4793 |
DOI: | 10.1056/nejmicm990952 |
Popis: | A 55-year-old man presented with a two-day history of headache, fever, and generalized weakness. He had received a cadaveric kidney transplant five years earlier. His medications included 5 mg of tacrolimus twice a day and 10 mg of prednisone daily. On neurologic examination, he was confused and incoherent. Cranial nerves were normal, but he had a hazy left retina. Strength examination showed an inability to overcome minimal resistance, more prominent on the right side. Deep tendon reflexes were exaggerated. Magnetic resonance imaging of the brain with the administration of gadolinium showed multiple enhancing lesions in both cerebral hemispheres (Panels A . . . |
Databáze: | OpenAIRE |
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