ABSTRACT
CASE REPORT: We report a patient with Miller Fisher syndrome in the course of an acute pneumonia by Mycoplasma pneumoniae. CONCLUSION: Miller Fisher syndrome as a neurologic complication of mycoplasmal respiratory disease occurring at infection onset is very rare and has not been described previously.
Subject(s)
Miller Fisher Syndrome/etiology , Pneumonia, Mycoplasma/complications , Diagnosis, Differential , Humans , Male , Middle Aged , Miller Fisher Syndrome/diagnosis , Mycoplasma pneumoniaeABSTRACT
Caso clínico. Presentamos un caso de síndrome de Miller Fisher en el curso de una neumonía aguda por Mycoplasma pneumoniae. Conclusión. El desarrollo de un síndrome de Miller Fisher como complicación neurológica de una infección por Mycoplasmay en el curso agudo del proceso infeccioso es muy raro, ya que no se ha descrito previamente (AU)
Case report. We report a patient with Miller Fisher syndrome in the course of an acute pneumonia by Mycoplasma pneumoniae. Conclusion. Miller Fisher syndrome as a neurologic complication of mycoplasmal respiratory disease occurring at infection onset is very rare and has not been described previously (AU)
Subject(s)
Middle Aged , Male , Humans , Mycoplasma pneumoniae , Pneumonia, Mycoplasma , Miller Fisher Syndrome , Diagnosis, DifferentialABSTRACT
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Subject(s)
Middle Aged , Adolescent , Male , Female , Humans , Dry Ice , Lymphocytes , Tomography, X-Ray Computed , Menopause , Myasthenia Gravis , Paranasal Sinus Diseases , Antineoplastic Combined Chemotherapy Protocols , Burkitt Lymphoma , Cavernous Sinus , Magnetic Resonance Imaging , Pituitary Diseases , TelencephalonSubject(s)
Brain Stem/physiopathology , Encephalitis/physiopathology , Ataxia/complications , Brain Stem/diagnostic imaging , Child , Electroencephalography , Electromyography , Encephalitis/complications , Encephalitis/drug therapy , Facial Paralysis/complications , Humans , Magnetic Resonance Imaging , Male , Prednisone/therapeutic use , Radiography , Syndrome , Treatment OutcomeABSTRACT
Chronic intracranial hypertension in the presence of hydrocephalus and/or arachnoiditis is a rare presentation of neurobrucellosis. The present case is exceptional because neither hydrocephalus nor arachnoiditis were present. Brucellosis was diagnosed by serological tests. The patient developed asthenia, anorexia, weight loss, violent headaches, explosive vomiting, bilateral papilloedema, diplopia with paralysis of the abducens nerves, left supranuclear facial paralysis and left hemiparesis. A skull radiograph showed destruction of the sella turcica. Rapid recovery was attained with the use of antibiotics. The pathogenesis of this intracranial hypertension syndrome with destruction of sella turcica is discussed.