Cotrimoxazol-induzierte aseptische Meningo-Enzephalitis

Heparin-induzierte Thrombopenie

Heparin induced thrombocytopenia (HIT) is a prothrombotic syndrome initiated by platelet-activating auto-antibodies with potentially devastating complications. Once the diagnosis of HIT is suspected, discontinuation of heparin and treatment with an alternative anticoagulant are mandatory. While established drugs for HIT are no longer available, parenteral factor Xa inhibitors, thrombin inhibito...

Pneumococcal Meningo-encephalitis. an Unusual Case.

A treatable cause of lymphocytic meningo-encephalitis.

Accepted 30 October 1996 A 59-year-old woman presented with anorexia, weight loss, lethargy, night sweats and lymphadenopathy. She was a lifelong teetotaller and was on no medication. Following biopsy of an inguinal node, a diagnosis of lymphocyte-depleted Hodgkin's lymphoma was established. Staging investigations showed pelvic and para-aortic node involvement (stage IIB). She went into remissi...

Intraventricular rifampicin in severe tuberculous meningo-encephalitis.

We present a patient acutely ill from severe tuberculous meningo-encephalitis, in whom acute hepatic and renal failure, due to intercurrent septic shock, precluded the administration of full systemic dosage of antituberculous drugs. Daily direct intraventricular administration of 5 mg rifampicin, via a subcutaneous Ommaya reservoir connected to a catheter placed in the right lateral cerebral ve...

Varicella-zoster virus meningo-rhombencephalitis presenting as Ramsey Hunt.

A 45-year-old woman on etanercept for rheumatoid arthritis presented with an acute right Bell palsy and auricular herpetic rash (Ramsey Hunt syndrome). Despite IV acyclovir, she developed headache, vertigo, severe vomiting, and evidence of a right peripheral audiovestibular loss (figure 1, A and B, video 1 on the Neurology® Web site at www.neurology.org). Ongoing symptoms indicated CSF examinat...