Aseptic Meningitis with Relapsing Polychondritis Mimicking Bacterial Meningitis
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概要
- 論文の詳細を見る
Relapsing polychondritis (RP) is a rare multisystem autoimmune disease. Though meningitis in RP is not common, some cases with cerebrospinal fluid (CSF) pleocytosis of lymphocyte cells have been reported. Of the 18 previously reported cases, two cases demonstrated pleocytosis of polymorphonuclear leukocytes (PMN) in the CSF. In addition, the cases whose glucose level in the CSF was decreased also were seen. Our case also demonstrated pleocytosis of PMN in CSF mimicking bacterial meningitis. In the clinical field, we cannot get the culture of CNF on the day. We regard the gulucose level and cellular fraction as impotant. Therefore, we must look upon meningitis in RP as a differential diagnosis of bacterial meningitis.
- Japanese Society of Internal Medicineの論文
著者
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YABE Ichiro
Department of Neurology, Graduate School of Medicine, Hokkaido University
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SASAKI Hidenao
Department of Neurology, Graduate School of Medicine, Hokkaido University
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Sasaki Hidenao
Department Of Neurology Graduate School Of Medicine Hokkaido University
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Yaguchi Hiroaki
Department of Neurology, Kushiro Rosai Hospital
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Tsuzaka Kazufumi
Department of Neurology, Kushiro Rosai Hospital
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Niino Masaaki
Department of Neurology, Hokkaido University Graduate School of Medicine
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Sasaki Hidenao
Department Of Internal Medicine Division Of Neurology St. Marianna University School Of Medicine
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Yaguchi Hiroaki
Department Of Chemistry Faculty Of Science Tokyo University Of Science
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