Bickerstaff's brainstem encephalitis associated with ulcerative colitis

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Bickerstaff's brainstem encephalitis associated with typhoid fever.

A 14 year old boy developed the syndrome of Bickerstaff's brainstem encephalitis during the course of bacteriologically proved typhoid fever. The clinical course and the results of various neurological investigations are detailed. This report adds a further manifestation to the published neuropsychiatric complications of typhoid fever.

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概 要 症 例 は38歳,女 性 ・嗄 声,喉 頭 痛,血 便 を主 訴 に 受 診.既 往 に 潰 瘍 性 大 腸 炎(ulcerative colitis: UC),ぶ ど う膜 炎 あ り.喉 頭 内視 鏡 な ら び に頚 部CTで 再 発 性 多 発 性 軟 骨 炎(relapsing polychondritis: RP)と 診 断 し た.ま た 下 部 消 化 管 内視 鏡 で 左 側 大 腸 炎 型UCの 活 動 期 と診 断 した.ス テ ロ イ ドと シ ク ロ ス ポ リ ンAを 併 用 した とこ ろ,症 状 消 失 し,2年 間再 発 な く経 過 して い る.UCに は種 々 の 腸 管 外 合 併 症 が 知 られ て い る が,RPと の合 併 は 極 め て稀 で あ り,興 味 あ る症 例 と考 え報 告 す る. 〔日内 会 誌 90:2...

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ژورنال

عنوان ژورنال: Case Reports

سال: 2012

ISSN: 1757-790X

DOI: 10.1136/bcr-2012-007013