Biopsy-proven Tuberculous Meningitis Mimicking CNS Sarcoidosis
スポンサーリンク
概要
- 論文の詳細を見る
We report a 31-year-old man with tuberculous meningitis (TM) mimicking CNS sarcoidosis. Although Mycobacterium tuberculosis (MTB) was not detected in CSF, the level of adenosine deaminase (ADA) in CSF was significantly raised. Brain biopsy showed caseous granuloma and a diagnosis of TM was made. The diagnosis of TM is often difficult and brain biopsy should be considered if MTB is not detected in the CSF. Evaluation of CSF ADA level could also strongly contribute to distinguishing TM from other meningitis. In addition to antituberculosis drugs, corticosteroid therapy was effective in our patient but careful reduction of its dosage was required.
著者
-
Tojo Kana
Department of Medicine (Neurology), Shinshu University School of Medicine
-
Machida Kazuko
Department Of Internal Medicine Nagoya City University Medical School
-
Ikeda Shu-ichi
Department Of Internal Medicine (neurology And Rheumatology) Shinshu University School Of Medicine
-
Sano Kenji
Department Of Applied Chemistry Faculty Of Engineering Toyama University
-
Yazaki Masahide
Department of Medicine (Neurology), Shinshu University School of Medicine
-
YAZAKI Masahide
Department of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine
-
Yoshida Kunihiro
Department of Brain Disease Research, Shinshu University School of Medicine, Japan
-
Yoshida Kunihiro
Department of Medicine (Neurology), Shinshu University School of Medicine
-
Yazaki Masahide
Department of Internal Medicine (Neurology and Rheumatology), Shinshu University School of Medicine
-
Tojo Kana
Department of Medicine (Neurology & Rheumatology), Shinshu University School of Medicine, Japan
関連論文
- Biopsy-proven Tuberculous Meningitis Mimicking CNS Sarcoidosis
- Flow Cytometric Analysis of Lymphocyte Subpopulations and Th1/Th2 Balance in Patients with Polymyositis and Dermatomyositis
- Long-term Follow-up of Plasma Cells in Bone Marrow and Serum Free Light Chains in Primary Systemic AL Amyloidosis
- A Rare Lung Nodule Consisting of Adenocarcinoma and Amyloid Deposition in a Patient with Primary Systemic AL Amyloidosis
- Cytomegalovirus-induced Infectious Mononucleosis-like Syndrome in a Rheumatoid Arthritis Patient Treated with Methotrexate and Infliximab
- Successful Treatment with Rituximab in a Patient with Stiff-Person Syndrome Complicated by Dysthyroid Ophthalmopathy
- Takayasu's Arteritis in a Patient with Crohn's Disease: An Unexpected Association during Infliximab Therapy
- Therapeutic outcome of cyclic VAD (vincristine, doxorubicin and dexamethasone) therapy in primary systemic AL amyloidosis patients
- Successful treatment with infliximab and low-dose methotrexate in a Japanese patient with familial Mediterranean fever
- Hemophagocytic syndrome associated with rheumatoid arthritis: A case report and review of the literature
- The Use of Bronchofiberscopy for Diagnosis of Allergic Bronchopulmonary Aspergillosis
- Expression of Various Glutamate Receptors Including N-Methyl-D-Aspartate Receptor (NMDAR) in an Ovarian Teratoma Removed from a Young Woman with Anti-NMDAR Encephalitis
- Unusual Clinical and Pathological Presentation of a Neuroendocrine Tumor in a Patient with Multiple Endocrine Neoplasia Type 1
- Huntington's disease with onset ages greater than 60 years
- A -16C>T substitution in the 5' UTR of the puratrophin-1 gene is prevalent in autosomal dominant cerebellar ataxia in Nagano
- A Patient with Advanced Hepatocellular Carcinoma Treated with Sorafenib Tosylate Showed Massive Tumor Lysis with Avoidance of Tumor Lysis syndrome
- Distinct clinicopathological entity 'autoimmune pancreatitis-associated sclerosing cholangitis'
- An Unusual Case of Klippel-Trenaunay-Weber Syndrome Presenting with Portosystemic Encephalopathy
- Intussusception of the appendix : A report of three cases with different clinical and pathologic features
- Diflunisal stabilizes familial amyloid polyneuropathy-associated transthyretin variant tetramers in serum against dissociation required for amyloidogenesis
- Multiple Brain Tumors of Diffuse Large B Cell Lymphoma in a Patient with Waldenstrom's Macroglobulinemia/Lymphoplasmacytic Lymphoma : PCR and DNA Sequence Analysis Show Evidence of Differences in Clonality of the Two B Cell Malignancies
- Periodic Peritonitis due to Familial Mediterranean Fever in a Patient with Systemic Lupus Erythematosus
- Nationwide survey on predictive genetic testing for late-onset, incurable neurological diseases in Japan
- Helicobacter heilmannii infection : Clinical, endoscopic and histopathological features in Japanese patients
- A Convenient Synthetic Method for Preparing 2,5-Disubstituted 1,6-Methano[10]annulenes from 1,6-Diacetylcyclohepta-1,3,5-triene
- Application of short tandem repeat of genomic DNA and mitochondrial DNA for identification of mixed-up tissue specimens
- PaCO2 Six months after the Initiation of Long-term Noninvasive Ventilation in Patients with COPD
- Autoimmune pancreatitis-associated prostatitis : Distinct clinicopathological entity
- Ocular Discomfort at the Initial Wearing of Rigid Gas Permeable Contact Lenses
- Histological diversity of vasculitic lesions in MPO-ANCA-positive autopsy cases
- A rat model of hypereosinophilic syndrome
- Intravascular fasciitis of the forearm vein: A case report with immunohistochemical characterization
- Chemokine CCL2 facilitates ICAM-1-mediated interactions of cancer cells and lymphatic endothelial cells in sentinel lymph nodes
- Primary Gastric Diffuse Large B-cell Lymphoma with Orbital Involvement: Diagnostic Usefulness of 18F-fluorodeoxyglucose Positron Emission Tomography
- Macrofollicular variant of papillary thyroid carcinoma
- The Characteristics of Food Intake in Patients with Type II Citrullinemia
- ON THE SERUMPROTEIN FRACTION OF PULMONARY TUBERCULOUS PATIENTS AND INFLUENCES OF STREPTOMYCIN AND INAH THERAPY UPON THEM
- A Japanese case of SCA14 with the Gly128Asp mutation
- Intestinal Angina Due to Atherosclerosis in a 45-year-old Systemic Lupus Erythematosus Patient
- ENDOSCOPIC IDENTIFICATION OF HELICOBACTER PYLORI GASTRITIS IN CHILDREN
- DOPAMINE RECEPTORS AND ADENYLATE CYCLASE IN CAUDATE NUCLEUS
- Clinical characteristics of de novo nonalcoholic fatty liver disease following pancreaticoduodenectomy
- 4 Cardiac Amyloidosis : Heterogenous Pathogenic Backgrounds(New Insights of Specific Cardiomyopathies, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Application of a new histological staging and grading system for primary biliary cirrhosis to liver biopsy specimens : Interobserver agreement
- Leukoencephalopathy Induced by Low-dose Methotrexate in a Patient with Rheumatoid Arthritis
- Buerger's disease manifesting nodular erythema with livedo reticularis
- Spinal Epidural Abscess with Osteomyelitis as a Cause of Bacterial Meningitis
- Intravenous Immunoglobulin (IVIg) with Methylprednisolone Pulse Therapy for Motor Impairment of Neuralgic Amyotrophy: Clinical Observations in 10 Cases
- A novel nonsense mutation in a Japanese family with ataxia with oculomotor apraxia type 2 (AOA2)
- Cerebral hemorrhage in Fabry's disease
- Characterization of deletion breakpoints in patients with dystrophinopathy carrying a deletion of exons 45-55 of the Duchenne muscular dystrophy (DMD) gene
- A novel splice site mutation of the MEN1 gene identified in a patient with primary hyperparathyroidism
- Criteria for Early Identification of Aceruloplasminemia
- Two Siblings Diagnosed to Have Transthyretin-related Familial Amyloid Cardiomyopathy Around the Same Time at Different Hospitals
- A Case of Mikulicz's Disease Complicated by Malignant Lymphoma: A Postmortem Histopathological Finding
- ANCA-associated Vasculitis with Central Retinal Artery Occlusion Developing during Treatment with Methimazole
- Clinical and Serial MRI Findings of a Sialidosis Type I Patient with a Novel Missense Mutation in the NEU1 Gene
- Richter Transformation in the Brain from Chronic Lymphocytic Leukemia
- Liver Dysfunction and Thrombocytopenia Diagnosed as Intravascular Large B-cell Lymphoma Using a Timely and Accurate Transjugular Liver Biopsy
- Early Involvement of the Corpus Callosum in a Patient with Hereditary Diffuse Leukoencephalopathy with Spheroids Carrying the de novo K793T Mutation of CSF1R
- Adult Onset X-Linked Chronic Granulomatous Disease in a Woman Patient Caused by a de novo Mutation in Paternal-Origin CYBB Gene and Skewed Inactivation of Normal Maternal X Chromosome
- Pure Red Cell Aplasia Developing after Treatment of Pleural Recurrence of Thymoma, Successfully Treated with Cyclosporin A but not with Tacrolimus
- Corpus Callosum Atrophy in Patients with Hereditary Diffuse Leukoencephalopathy with Neuroaxonal Spheroids: An MRI-based Study
- Investigation of Antimuscarinic Receptor Autoantibodies in Patients with Acquired Idiopathic Generalized Anhidrosis
- THE EFFECT OF THIAMINE ON THE CONTENT OF INSULIN-LIKE SUBSTANCE IN MOUSE SERUM
- Nephrotic Syndrome Due to Primary Systemic AL Amyloidosis, Successfully Treated with VAD (Vincristine, Doxorubicin and Dexamethasone) Alone
- Systemic AL Amyloidosis Mimicking Rheumatoid Arthritis
- An 85-year-old Case with Hashimoto's Encephalopathy, Showing Spontaneous Complete Remission
- Patient with adult-onset type II citrullinemia beginning 2 years after operation for duodenal malignant somatostatinoma : Indication for liver transplantation
- Marked and Rapid Regression of Hepatic Amyloid Deposition in a Patient with Systemic Light Chain (AL) Amyloidosis after High-dose Melphalan Therapy with Stem Cell Transplantation
- Spinal Intradural Extramedullary Cavernous Angioma Presenting with Superficial Siderosis and Hydrocephalus: A Case Report and Review of the Literature