meningism/vomiting

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Large epidemic outbreak of vomiting associated with meningism and exanthem; clinical and epidemiological observations.

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[Subarachnoid hemorrhage caused by a rupture of a spinal arteriovenous malformation].

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The authors report on a patient presenting with subarachnoid hemorrhage that was caused by a rupture of an spinal combined arteriovenous malformation at cervicothoracic junction. The patient was a 30-year-old female, who had exhibited an abrupt onset of severe low neck and occipital pain with

Correlations between subdural empyema and paraclinical as well as clinical parameters amongst urban malay paediatric patients.

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Paediatric subdural empyema is frequently seen in developing Asean countries secondary to rinosinusogenic origins. A cross-sectional analysis on the surgical treatment of intracranial subdural empyema in Hospital Kuala Lumpur (HKL), a major referral center, was done in 2004. A total number of 44

Clinical presentation of cerebral aneurysms.

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Presentation of a cerebral aneurysm can be incidental, discovered at imaging obtained for unrelated causes, can occur in the occasion of imaging obtained for symptoms possibly or likely related to the presence of an unruptured aneurysm, or can occur with signs and symptoms at the time of aneurismal

Confirmed viral meningitis with normal CSF findings.

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An 18-year-old woman presented with a progressively worsening headache, photophobia feverishness and vomiting. Three weeks previously she had returned to the UK from a trip to Peru. At presentation, she had clinical signs of meningism. On admission, blood tests showed a mild lymphopenia, with a

Computed tomographic cisternography with iopamidol in the diagnosis of primary empty sella.

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Twenty-one patients with primary empty sella were studied with computed tomography iopamidol cisternography. Ten milliliters of iopamidol at a concentration of 200 mg I/mL was administered intrathecally via the lumbar route. Eleven patients had a partial and 10 a complete empty sella. In six cases

Molecular characterization of antimicrobial resistance in non-typhoidal salmonellae associated with systemic manifestations from India.

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Extended-spectrum cephalosporins and fluoroquinolones are essential antimicrobials for treating invasive salmonellosis, although emerging resistance to these antimicrobials is of growing concern, especially in India. Therefore, a study was conducted to characterize the antimicrobial susceptibility

Invasive pneumococcal disease in children prior to implementation of the conjugate vaccine in the Zurich region, Switzerland.

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OBJECTIVE To describe symptoms, disease manifestations and outcome of invasive pneumococcal disease in children prior to implementation of the pneumococcal vaccine. METHODS Analysis of children younger than 16 years of age with invasive pneumococcal disease (IPD; n = 119). Children with

Cryptococcus meningitis in an immunocompetent teenage boy presented early with diplopia.

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OBJECTIVE To report a case of cryptococcus meningitis in an immunocompetent teenager that presented early with diplopia and bilateral poor vision. METHODS A case report RESULTS A 17-year-old boy presented with blurring of vision in both eyes and diplopia for 3 weeks. It was associated with severe

[Aspects of typhoid fever in children].

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Some aspects of typhoid fever in 77 children are discussed. There were 48 boys and 29 girls and their ages ranged from 1 month to 12 years. The patients were treated with chloramphenicol 100 mg/kg/d during the first 2 weeks and with either amoxycillin (100 mg/kg/d) or ampicillin (200 mg/kg/d) during

[Pituitary apoplexy: an endocrinologic emergency].

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A 32-year-old woman, a 73-year-old man and a 26-year-old pregnant woman presented with headache, vomiting, and variable presence of visual disturbances, impaired consciousness, and circulatory shock. All three had pituitary apoplexy. In the first patient lymphocytic hypophysitis was diagnosed, the

An unusual cause for hyponatremia with seizures.

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A 50-year-old Asian Indian female with known hypertension presented with persistent vomiting but no other symptoms of meningism. Clinical examination and basic laboratory parameters were entirely normal except for significant hyponatremia. Further investigation was suggestive of the syndrome of

Typhoid fever in Hong Kong children.

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Experience with typhoid fever in 111 children over a 5-year period was reviewed. There were 66 boys and 45 girls, ranging in age from 1 to 11.5 years. The symptoms of typhoid fever were quite non-specific. Fever was the most common presenting symptom (in 98.3%). Other common presenting features were

Chronic meningitis with intracranial hypertension and bilateral neuroretinitis following Mycoplasma pneumoniae infection.

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A previously well 12-year-old boy presented with a 2-week history of headache, nausea, vomiting and left-sided weakness. He subsequently developed meningism, right abducens nerve palsy, persistent papilloedema and reduced visual acuity in association with a bilateral macular star, consistent with

An unusual case of sudden onset headache due to pituitary apoplexy: a case report and review of the new UK guidelines.

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Spontaneous pituitary apoplexy in the absence of a known pre-existing pituitary adenoma is a very rare cause of sudden onset headache, but can be potentially sight- and life-threatening. We describe a case of a 37-year-old man who presented to the Emergency Department with a severe headache,

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