Eosinophilia of the Cerebrospinal Fluid in a Case of Shunt Infection: Case Report

Neurosurgery ◽  
1986 ◽  
Vol 19 (5) ◽  
pp. 835-836 ◽  
Author(s):  
Mine Seiichiro ◽  
Sato Akira ◽  
Yamaura Akira ◽  
Tamachi Seiichi ◽  
Makino Hiroyasu ◽  
...  

Abstract A very rare case of eosinophilic granulocytosis of the cerebrospinal fluid (CSF eosinophilia) due to drug allergy caused by the intraventricular administration of gentamicin sulfate is presented with a review of the pertinent literature. An unusual clinical course and clinicoimmunological examination are also described.

Neurosurgery ◽  
1991 ◽  
Vol 29 (3) ◽  
pp. 472-474 ◽  
Author(s):  
Kwan-Hon Chan ◽  
Kirpal S. Mann ◽  
W. H. Seto

Abstract Mycobacterium fortuitum is a rare cause of central nervous system infection: however, shunt infection caused by this organism has not been reported. We report a case of shunt infection subsequent to insertion of a ventriculoatrial shunt for obstructive hydrocephalus caused by a cerebellar hematoma. The shunt infection was controlled by removal of the shunt and a combination of systemic and intraventricular administration of amikacin, and oral administration of ofloxacin. The case is discussed and the pertinent literature reviewed.


1995 ◽  
Vol 62 (1_suppl) ◽  
pp. 94-96 ◽  
Author(s):  
P. Tognoni ◽  
R. Banchero ◽  
U. Repetto ◽  
C. Caviglia ◽  
M. Cussotto ◽  
...  

— We present a rare case report of a non-Hodgkin primary prostatic lymphoma. In the article we focus on the increasing number of primary urologic lymphomas, the usual indolent clinical course of such a neoplasm and the combination of surgery and chemotherapy that we performed in this case.


2018 ◽  
Vol 19 (4) ◽  
pp. 351-353
Author(s):  
E Forbat ◽  
MJ Rouhani ◽  
C Pavitt ◽  
S Patel ◽  
R Handslip ◽  
...  

Background Leptospirosis is a rare infectious illness caused by the Spirochaete Leptospira. It has a wide-varying spectrum of presentation. We present a rare case of severe cardiogenic shock secondary to leptospirosis, in the absence of its common clinical features. Case presentation A 36-year-old woman presented to our unit with severe cardiogenic shock and subsequent multi-organ failure. Her clinical course was characterised by ongoing pyrexia of unknown origin with concurrent cardiac failure. She was initially managed with broad-spectrum antibiotics and inotropes. Percutaneous cardiac biopsy excluded major causes of myocarditis. On day 21 after presentation, she was found to be IgM-positive for leptospirosis. Conclusions This is a rare case of severe cardiogenic shock secondary to leptospirosis infection. The case also highlights the importance of obtaining a thorough social history when assessing a patient with an unusual presentation, as clues can often be missed.


2018 ◽  
Vol 69 (1) ◽  
pp. 53-55
Author(s):  
Karthikeyan Ramasamy ◽  
Hemanth Vamanshankar ◽  
Sunil Kumar Saxena ◽  
Vignesh Karunakaran ◽  
Arun Alexander

Neurosurgery ◽  
1987 ◽  
Vol 21 (4) ◽  
pp. 551-553
Author(s):  
Harry Z. Rappaport ◽  
Shlomi Constantini ◽  
Tali Sigal ◽  
Lucia Shuger

Abstract A 17-year-old girl presented with signs of increased intracranial pressure. On computed tomography, an enhancing intraaxial lesion in the region of the foramen magnum was demonstrated. Surgical excision was performed. The pathological diagnosis was low grade fibrosarcoma. Her subsequent course was complicated by cerebrospinal fluid seeding, a posterior fossa recurrence, and repeated subarachnoid hemorrhage with cerebral vasospasm. A combination of radiotherapy and intraventricular chemotherapy has left the patient symptom-free 2 years after operation. The intramedullary appearance of fibrosarcoma and the unusual subsequent clinical course are discussed. (Neurosurgery 21:551-553, 1987)


Brain Injury ◽  
2014 ◽  
Vol 28 (9) ◽  
pp. 1223-1225 ◽  
Author(s):  
Flávio Key Miura ◽  
Almir Ferreira Andrade ◽  
Bruno Azevedo Randi ◽  
Valdir Sabbaga Amato ◽  
Antonio Carlos Nicodemo

2019 ◽  
Vol 12 (S 01) ◽  
pp. S67-S69
Author(s):  
Michael K. Boyajian ◽  
Lauren O. Roussel ◽  
Galam Khan ◽  
Edward Stopa ◽  
Reena Bhatt

Abstract Background Eosinophilic polymyositis is a rare disorder in which eosinophils infiltrate muscle and supporting connective tissue structures, resembling autoimmune or immunologically mediated disease. This disorder can be associated with muscle inflammation and death, and can be a cause of atraumatic compartment syndrome. Methods This is a retrospective chart review of a case report as well as review of pertinent literature. Results This report presents a rare case of atraumatic compartment syndrome of the forearm caused by eosinophilic polymyositis. It provides a case summary and histological examination of this patient. Conclusion This is an important case to report because it highlights eosinophilic polymyositis as a unique etiology of compartment syndrome. In appropriate clinical situations where patients do not improve despite standard interventions, one should consider the rare and unusual etiology of compartment syndrome due to eosinophilic polymyositis. Furthermore, primary surgical intervention should not be delayed while waiting to ascertain a definitive diagnosis.


2018 ◽  
Vol 69 (1) ◽  
pp. 53-55
Author(s):  
Karthikeyan Ramasamy ◽  
Hemanth Vamanshankar ◽  
Sunil Kumar Saxena ◽  
Vignesh Karunakaran ◽  
Arun Alexander

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