Encephalitis of the Basal Ganglia in an Injection Drug User
| Autor: | P. A. Mackowiak, M. Carpenter, C. Polk, R. Castellani, K. Mochoruk, S. Sanche, B. Stern, M. S. Donnenberg |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Microbiology (medical) medicine.medical_specialty Antifungal Agents Choreiform movement Physical examination Basal Ganglia Central nervous system disease Amphotericin B medicine Humans Mucormycosis Substance Abuse Intravenous medicine.diagnostic_test business.industry Ankle clonus medicine.disease Surgery Heroin Infectious Diseases Blood pressure Anesthesia Oral thrush Encephalitis Female business Nuchal rigidity |
| Zdroj: | Clinical Infectious Diseases. 45:1522-1524 |
| ISSN: | 1537-6591 1058-4838 |
| DOI: | 10.1086/522995 |
| Popis: | A 24-year-old white female intravenous heroin user with osteogenesis imperfecta presented with a 3-day history of diminished level of consciousness. On physical examination, she was febrile to 39.1?C, tachycardic (pulse rate, 120 beats per minute), and had a blood pressure of 100/55 mm Hg. She was cachectic, with no evidence of recent trauma or oral thrush. She had pronounced nuchal rigidity, was mute with poor cooperation, had intermittent choreiform movements of the right arm, and had generalized hyperreflexia with bilateral ankle clonus and Babinski signs. Routine serological test results were within normal ranges, including a WBC count of 8500 cells/mm3 and a serum glucose level of 76 mg/dL. Serological test results were negative for HIV |
| Databáze: | OpenAIRE |
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