Cases reported "Eosinophilia"

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1/35. A rare case of cotrimoxazole-induced eosinophilic aseptic meningitis in an hiv-infected patient.

    A case of cotrimoxazole-induced meningoencephalitis in an hiv-infected patient without signs of AIDS is reported. The patient developed an apparently generalized seizure, of cotrimoxazole, 1 month after first taking a dose of this drug and a febrile coma after a second dose 3 weeks later. Lumbar puncture revealed eosinophilic aseptic meningitis. The patient quickly recovered without sequelae and was given antiretroviral therapy plus pentamidine aerosolized and pyrimethamine as prophylaxis for opportunistic infections. No other adverse effects were observed. The report describes the diagnosis of this case supported by a commentary, including a literature review.
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keywords = meningitis
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2/35. Eosinophilic meningitis. An unusual cause of headache.

    Human parasitic infections are uncommon outside the tropical north but common in animals throughout australia. The rat lung worm, angiostrongylus cantonensis, can invade the human brain to cause a chronic meningitis with prolonged headache. This condition can be diagnosed by finding a high eosinophil count in cerebrospinal fluid (CFS), the lumbar puncture also provides symptomatic relief. The outcome is usually benign but death has been reported.
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keywords = meningitis
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3/35. Horizontal conjugate gaze palsy in eosinophilic meningitis.

    Two cases of eosinophilic meningitis who presented with headache and strabismus are reported. Pertinent physical examination revealed unilateral horizontal conjugate gaze palsy with absence of doll's eye maneuver and hemiparesis. The etiologic agent of eosinophilic meningitis is presumed to be angiostrongylus cantonensis and the infected location that produce horizontal conjugate gaze palsy was a pontine lesion.
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ranking = 1.2
keywords = meningitis
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4/35. A case of eosinophilic meningitis.

    A case of eosinophilic meningitis is reported, a condition not previously reported from sri lanka. We propose Angiostrongylus cantonesis to be the most likely causative agent in this patient.
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keywords = meningitis
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5/35. Eosinophilic aseptic arachnoiditis. A neurological complication in hiv-negative drug-addicts.

    The finding of an eosinophilic aseptic meningitis in IV drug abuse is usually suggestive of an opportunistic infection or an allergic reaction. However, hiv-negative patients are at lower risk for developing these complications. Two young hiv-negative patients, with previous intravenous polytoxicomany, developed cystic arachnoiditis over the spinal cord associated with eosinophilic meningitis. histology of the meningeal spinal cord lesions revealed a vasculocentric mixed inflammatory reaction. In one patient prednisone led to marked clinical improvement. Since infection, vasculitis, sarcoidosis and previous myelography were ruled out, we believe that the syndrome of eosinophilic aseptic arachnoiditis may be related to an hyperergic reaction in the meniges toward drug-adulterants inoculated through the intravenous route.
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ranking = 0.4
keywords = meningitis
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6/35. Eosinophilic meningitis due to gnathostoma spinigerum.

    We present a case of eosinophilic meningitis due to the tissue nematode gnathostoma spinigerum in a patient with remote travel to korea. G. spinigerum is found primarily in Southeast asia, but cases are being increasingly diagnosed in non-endemic areas because of more extensive international travel. The organism has been known to persist in human tissues for over a decade, so earlier travel to endemic areas is important.
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ranking = 1
keywords = meningitis
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7/35. Actinomycotic meningitis: report of a case.

    A 73-year-old man who presented with acute fever, drowsiness and confusion was reported. Two weeks prior to admission, he attended the Outpatient Department with symptoms of fever and headache for 2 weeks. Eosiophilic meningitis was initially diagnosed, which, in fact, was lymphocytic CSF pleocytosis. He was treated with a high dose of prednisolone. His symptoms improved for 1 week, then he experienced symptoms of fever and headache again. On admission, he had stiffness of the neck. Lumbar puncture showed purulent CSF with gram-positive branching filamentous organisms. CSF grew actinomyces israelii. The patient died from brain herniation.
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ranking = 1
keywords = meningitis
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8/35. Eosinophilic meningitis: a case series report and review of the literature.

    Prompted by a case of eosinophilic meningitis (EM), a review of the literature was performed to evaluate the strength of the diagnoses associated with EM and compares these results with our hospital's experience. Articles were critically reviewed for supporting evidence, method of diagnosis, and established standards for specific diagnosis. EM has been defined as > or = 10 eosinophils per mm3 or > or = 10% eosinophils of total cell count. Sixty-two cases of EM were found at our institution and reviewed. The results of this case series review concur with those found in the literature. It also suggests the importance of considering infectious and noninfectious etiologies when faced with eosinophils in the cerebrospinal fluid. This review and case study analysis provides the clinician with a critically established set of differential diagnoses and a concise definition of EM that may assist the physician in the evaluation of patients presenting with eosinophils in the cerebrospinal fluid.
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ranking = 1
keywords = meningitis
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9/35. Eosinophilic meningitis following incomplete resection of a meningeal hydatid cyst.

    Cerebral hydatid cyst is a rare complication of cystic echinococcosis (CE), but is associated with substantial mortality and morbidity. The case is described of a patient presenting with cerebral CE, complicated by a postoperative eosinophilic meningitis which resolved under corticosteroids. The therapeutic options for cerebral CE are discussed.
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keywords = meningitis
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10/35. Angiostrongylus eosinophilic meningitis associated with sensorineural hearing loss.

    A 59-year-old woman who presented with chronic headache, neck stiffness and left-sided hearing loss is reported. The diagnosis of angiostrongylus eosinophilic menigitis was made. The patient improved after treatment with prednisolone, including hearing. Angiostrongylus eosinophilic meningitis associated with sensorineural hearing loss has not previously been reported.
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ranking = 1
keywords = meningitis
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