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Mycoplasma pneumoniae causing nervous system lesion and SIADH in the absence of pneumonia

2004Journal article Open access
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dc.contributor.authorCoelho, M
dc.contributor.authorLeite, A
dc.contributor.authorRevés, A
dc.contributor.authorMiranda, C
dc.contributor.authorSerra, I
dc.contributor.authorBrandão, T
dc.contributor.authorAlbuquerque, L
dc.contributor.authorFreitas, PT
dc.date.accessioned2011-02-07T11:31:22Z
dc.date.available2011-02-07T11:31:22Z
dc.date.issued2004
dc.description.abstractA patient was admitted for fever and acute respiratory failure (ARF), rapidly progressive tetraparesis, delirium, behavioral abnormalities, and diplopia. Leukocytosis and a rise in C-reactive protein were present. A syndrome of inappropriate anti-diuretic hormone secretion (SIADH) was also diagnosed. Lumbar puncture yielded colorless CFS with mononuclear pleocytosis and protein rise. Electrodiagnosis revealed demyelinating polyneuropathy and axonal degeneration. Serum IgG and IgM for mycoplasma pneumoniae (MP) was consistent with acute infection, and erythromycin was started with rapid resolution of symptoms. Contrarily to most reports, an associated respiratory disease was not present and SIADH in association with MP has been reported only once, in a patient without direct central nervous system (CNS) involvement. Differential diagnosis and possible pathogenic mechanisms are discussed.por
dc.identifier.citationClin Neurol Neurosurg. 2004 Mar;106(2):129-31por
dc.identifier.issn1872-6968
dc.identifier.urihttp://hdl.handle.net/10400.10/291
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherElsevierpor
dc.subjectPneumonia por mycoplasmapor
dc.subjectMycoplasma pneumoniaepor
dc.subjectDoenças desmielinizantespor
dc.subjectInsuficiência respiratóriapor
dc.subjectAcute respiratory failurepor
dc.subjectSíndrome de Guillain-Barrépor
dc.subjectGuillain–Barré syndromepor
dc.subjectFebre de origem desconhecidapor
dc.subjectFever of unknown originpor
dc.titleMycoplasma pneumoniae causing nervous system lesion and SIADH in the absence of pneumoniapor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceAmsterdampor
oaire.citation.endPage131por
oaire.citation.startPage129por
oaire.citation.titleClinical Neurology and Neurosurgerypor
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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