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Aseptic Meningitis

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2. Meningitis - bacterial meningitis and meningococcal disease

. Neisseria meningitidis infection can result in bacterial meningitis, or meningococcal septicaemia (when N. meningitidis infection enters the bloodstream). can also cause meningitis. Meningococcal disease is a term referring to meningococcal meningitis, meningococcal septicaemia, or a combination of both. [ ; ; ] Causes What causes it? Bacterial meningitis is a condition caused by inflammation of the meninges as a result of bacterial infection. Overall in the UK, Neisseria meningitidis , Streptococcus (...) causative organisms. [ ; ; ; ; ] Transmission How is it transmitted? Bacterial meningitis and meningococcal disease are transmitted through close contact via droplets or secretions from the upper respiratory tract. Transmission usually requires either frequent or prolonged close contact. Neisseria meningitidis is usually commensal, with 5–11% of adults and up to 25% of adolescents being asymptomatic carriers. However, the carriage rate is low in infants and young children [ ]. The incubation period

2019 NICE Clinical Knowledge Summaries

3. Recurrent aseptic meningitis with PIGT mutations: a novel pathogenesis of recurrent meningitis successfully treated by eculizumab Full Text available with Trip Pro

Recurrent aseptic meningitis with PIGT mutations: a novel pathogenesis of recurrent meningitis successfully treated by eculizumab We report the case of a patient with PIGT mutations who experienced recurrent aseptic meningitis 121 times over 16 years before developing paroxysmal nocturnal haemoglobinuria (PNH). Each episode was preceded by urticaria and arthralgia. After developing PNH, haemolysis occurred prior to meningitis. Flow cytometry revealed deficiency of the glycophosphatidylinositol (...) of these proteins leads to complement overactivation, causing inflammatory symptoms, including recurrent meningitis. PIGT mutations should be considered a novel pathogenesis of recurrent meningitis of unknown aetiology.© BMJ Publishing Group Limited 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

2018 BMJ case reports

4. Genetic diversity of the enteroviruses detected from cerebrospinal fluid (CSF) samples of patients with suspected aseptic meningitis in northern West Bank, Palestine in 2017. Full Text available with Trip Pro

Genetic diversity of the enteroviruses detected from cerebrospinal fluid (CSF) samples of patients with suspected aseptic meningitis in northern West Bank, Palestine in 2017. Human enterovirus genus showed a wide range of genetic diversity.To investigate the genetic diversity of the enteroviruses isolated in 2017 in northern West Bank, Palestine.249 CSF samples from aseptic meningitis cases were investigated for HEV using two RT-PCR protocols targeting the 5' NCR and the VP1 region of the HEV

2018 PLoS ONE

5. Bexsero (Neisseria meningitidis)

Bexsero (Neisseria meningitidis) 7 Westferry Circus ? Canary Wharf ? London E14 4HB ? United Kingdom An agency of the European Union Telephone +44 (0)20 7418 8400 Facsimile +44 (0)20 7523 7455 E-mail info@ema.europa.eu Website www.ema.europa.eu 15 November 2012 EMA/790069/2012 Committee for Medicinal Products for Human Use (CHMP) Assessment report Bexsero Common name: Meningococcal group B Vaccine (rDNA, component, adsorbed) Procedure No. EMEA/H/C/002333 Assessment Report as adopted by the CHMP (...) meningitidis group B strain NZ98/254 measured as amount of total protein containing the PorA P1.4 Common Name: Meningococcal group B Vaccine (rDNA, component, adsorbed) Pharmaco-therapeutic group (ATC Code): Meningococcal vaccines (J07AH09) Therapeutic indication: Bexsero is indicated for active immunisation of individuals from 2 months of age and older against invasive meningococcal disease caused by Neisseria meningitidis group B. The impact of invasive disease in different age groups as well

2012 European Medicines Agency - EPARs

6. UK joint specialist societies guideline on the diagnosis and management of acute meningitis and meningococcal sepsis in immunocompetent adults

of sepsis 41 ) Severe sepsis Acute organ dysfunction secondary to documented or suspected sepsis Septic shock Severe sepsis plus hypotension not reversed with ?uid resuscitation Meningococcal sepsis Evidence of sepsis with or without a characteristic petechial/purpuric skin rash and hypoperfusion. Neisseria meningitidis may be identi?ed from blood, CSF or skin lesions (culture or PCR). Invasive meningococcal disease (IMD) Invasion of any normally sterile site by Neisseria meningitidis including (...) UK joint specialist societies guideline on the diagnosis and management of acute meningitis and meningococcal sepsis in immunocompetent adults The UKjointspecialist societies guideline on the diagnosis and management of acute meningitis and meningococcal sepsis in immunocompetent adults * F. McGill a,b,c,d, * ,x , R.S. Heyderman e,x , B.D. Michael a,f,y , S. Defres a,c,v,x , N.J. Beeching a,b,c,g,x , R. Borrow h,ab , L. Glennie w,ac , O. Gaillemin j,aa , D. Wyncoll q,z , E.Kaczmarski k,ab

2016 British Infection Association

7. Varicella Zoster aseptic meningitis: Report of an atypical case in an immunocompetent patient treated with oral valacyclovir Full Text available with Trip Pro

Varicella Zoster aseptic meningitis: Report of an atypical case in an immunocompetent patient treated with oral valacyclovir Varicella Zoster when described has the typical presentation of a dermatomal distribution of a rash and can further lead to CNS complications. This can be treated accordingly with the proper protocol, but if the presentation is atypical and the protocol is challenged or changed per specific patient outcomes, new developments can occur. Here we present a case of a 29-year (...) -old Caucasian female that presented to the emergency department with headache, photophobia, and chills for 5 days. She was previously healthy and immunocompetent; CSF PCR analysis revealed a VZV infection causing acute aseptic meningitis with no shingles rash eruption on physical examination. The patient was not willing to stay hospitalized for the duration of the treatment. This gave us an opportunity to treat her with an oral, rather than IV, antiviral. The patient was successfully treated

2018 IDCases

8. Immunoglobulin-induced aseptic meningitis: a case report. Full Text available with Trip Pro

Immunoglobulin-induced aseptic meningitis: a case report. Immunoglobulin associated meningitis is a rare disease that mimics infectious meningitis. This is, to our knowledge, the first case of Immunoglobulin-associated meningitis described in a patient with Systemic Lupus Erythematosus and hypogammaglobulinemia secondary to Rituximab.A 46-year-old female with a past medical history of Systemic Lupus Erythematosus, presented with meningismus 36 h after first infusion of intravenous (...) immunoglobulin. The cerebrospinal fluid analysis showed neutrophilic pleocytosis and hyperproteinorrachia. All microbiological tests were negative. The patient recovered remarkably fast without sequela after just five days of antibiotic therapy.Systemic Lupus Erythematosus is a well-documented risk factor for aseptic meningitis associated with other drugs. Possibly, it is also a risk factor for Immunoglobulin associated meningitis. This diagnosis, although rare, should be considered in patients receiving

2018 BMC Neurology

9. A Rare Case of Levetiracetam and Drug-Induced Idiopathic Aseptic Meningitis in a Pediatric Patient. Full Text available with Trip Pro

A Rare Case of Levetiracetam and Drug-Induced Idiopathic Aseptic Meningitis in a Pediatric Patient. Levetiracetam (LEV) is a pyrrolidine derivative antiepileptic medication used for the treatment of seizures in pediatric and adult patients. We report a case of probable LEV-induced aseptic meningitis in a 13-year-old girl. The patient received LEV for a generalized seizure disorder and presented with symptoms 5 days after medication initiation. Ten days after LEV initiation, the patient (...) presented to the hospital for further management. During her hospital course, infectious etiologies were ruled out with clinical and diagnostic testing. Upon discontinuation of LEV, the patient's symptoms resolved. Although select antiepileptic medications have been associated with drug-induced aseptic meningitis (DIAM), to date, no reports have been published about DIAM following the administration of LEV. We describe and categorize the probability of DIAM in association with LEV, as observed

2018 Pharmacotherapy

10. Capillary leak syndrome and aseptic meningitis in a patient with Kawasaki disease: A case report. Full Text available with Trip Pro

Capillary leak syndrome and aseptic meningitis in a patient with Kawasaki disease: A case report. Kawasaki disease (KD) is an acute vasculitis of childhood, coronary complications are the most serious and classic complications of this disease. However, simultaneous complications such as systemic capillary leak syndrome (CLS) and aseptic meningitis are rarely reported.A 19-month-old boy had continuous fever for 6 days, rash for 3 days, and somnolence for 1 day.The boy was diagnosed with KD (...) are frequently reported. This may be combined with systemic damage, however, the combination of SCLS and aseptic meningitis is rarely reported, therefor, children who have SCLS, aseptic meningitis and unexplained fever >5 days, KD should be taken into account. Early diagnosis and timely treatment can reduce complications induced by KD.

2018 Medicine

11. Infliximab-Induced Aseptic Meningitis in a Patient with Crohn’s Disease Full Text available with Trip Pro

Infliximab-Induced Aseptic Meningitis in a Patient with Crohn’s Disease Infliximab is an anti-tumor necrosis factor α (TNFα) monoclonal antibody that treats moderate-to-severe Crohn's disease. In rare cases, infliximab has been associated with drug-induced aseptic meningitis. We present a 46-year-old woman with migraines and inflammatory Crohn's colitis treated with intravenous infliximab and methotrexate. She developed nuchal rigidity, photophobia, and headache 2 days after each of her (...) infliximab infusions, with symptom resolution 1 week post-infusion. Her exam, imaging, and cerebrospinal fluid analysis were consistent with drug-induced aseptic meningitis. She discontinued infliximab and started vedolizumab with continued remission of her Crohn's disease.

2018 ACG case reports journal

12. Molecular detection and genotyping of enteroviruses from CSF samples of patients with suspected sepsis-like illness and/or aseptic meningitis from 2012 to 2015 in West Bank, Palestine. Full Text available with Trip Pro

Molecular detection and genotyping of enteroviruses from CSF samples of patients with suspected sepsis-like illness and/or aseptic meningitis from 2012 to 2015 in West Bank, Palestine. Human enteroviruses (HEVs) are the most frequently reported cause of aseptic meningitis with or without CSF pleocytosis in childhood. Rapid detection and genotype of HEVs is essential to determine the causative agent and variant causing sepsis-like illness and/or aseptic meningitis.To investigate the molecular (...) epidemiology of enteroviruses (EVs) among patients with sepsis-like illness and/or aseptic meningitis admitted to three major hospitals in West Bank, Palestine from 2012 to 2015.During the study period, 356 CSF samples were collected from patients with sepsis-like illness and/or aseptic meningitis. Two RT-nested PCR assays targeting a partial part of 5'UTR for direct diagnosis and the VP1 region for genotyping by sequence analysis of the viral genome were used.HEV RNA was detected in 66 of 356 (18.5

2017 PLoS ONE

13. Diagnostic accuracy of cerebrospinal fluid lactate for differentiating bacterial meningitis from aseptic meningitis: a meta-analysis

Diagnostic accuracy of cerebrospinal fluid lactate for differentiating bacterial meningitis from aseptic meningitis: a meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2011 DARE.

14. Pathogenesis of coxsackievirus B2 in mice: characterization of clinical isolates of the coxsackievirus B2 from patients with myocarditis and aseptic meningitis in Korea Full Text available with Trip Pro

Pathogenesis of coxsackievirus B2 in mice: characterization of clinical isolates of the coxsackievirus B2 from patients with myocarditis and aseptic meningitis in Korea Group B coxsackieviruses (CVBs) are a group of common human pathogens producing various clinical symptoms. Although the virology of CVB is well known, there is limited information on viral pathogenesis and the relationship between clinical symptoms and viral phenotype, particularly for CVB type 2 (CVB2). In 2004 in Korea, two (...) CVB2 strains were isolated: CB2/04/279 from stool of an acute myocarditis patient with heart failure and CB2/04/243 from an aseptic meningitis patient. In this study, a high degree of homology was observed between the CB2/04/279 and CB2/04/243 full genome sequences. The two Korean CVB2 isolates had 93.1% homology compared to 82.1%-82.5% nucleotide sequence identity with the cardiovirulence-associated reference CVB strain Ohio-1 (CVB/O). CVB2-induced pathogenesis was analyzed, focusing on virus

2017 Journal of veterinary science

15. Aseptic Meningitis with Craniopharyngioma Resection: Consideration after Endoscopic Surgery Full Text available with Trip Pro

Aseptic Meningitis with Craniopharyngioma Resection: Consideration after Endoscopic Surgery Objectives While bacterial meningitis is a concerning complication after endoscopic skull base surgery, the diagnosis can be made without consideration for aseptic meningitis. This article aims to (1) present a patient with recurrent craniopharyngioma and multiple postoperative episodes of aseptic meningitis and (2) discuss the diagnosis and management of aseptic meningitis. Design Case report (...) aseptic meningitis. Radiological and intraoperative findings were now concerning for widespread cerebrovascular vasospasm due to leaked craniopharyngioma fluids. In the following months, her craniopharyngioma recurred and required multiple surgical resections. Days after her last operation, she returned with mental status changes and a sterile CSF culture. She was diagnosed with recurrent aseptic meningitis and antibiotics were discontinued. The patient experienced near complete resolution of symptoms

2016 Journal of neurological surgery reports

16. Aseptic Meningitis in Adults and Children: Diagnostic and management challenges Full Text available with Trip Pro

Aseptic Meningitis in Adults and Children: Diagnostic and management challenges Aseptic meningitis represents a common diagnostic and management dilemma to clinicians.To compare the clinical epidemiology, diagnostic evaluations, management, and outcomes between adults and children with aseptic meningitis.We conducted a retrospective study from January 2005 through September 2010 at 9 Memorial Hermann Hospitals in Houston, TX. Patients age≥2months who presented with community-acquired aseptic (...) meningitis with a CSF white blood cell count >5cells/mm3 and a negative Gram stain and cultures were enrolled. Patients with a positive cryptococcal antigen, positive blood cultures, intracranial masses, brain abscesses, or encephalitis were excluded.A total of 509 patients were included; 404 were adults and 105 were children. Adults were most likely to be female, Caucasian, immunosuppressed, have meningeal symptoms (headache, nausea, stiff neck, photophobia) and have a higher CSF protein (P <0.05

2017 Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology

17. CSF cytokines correlate with aseptic meningitis and blood brain barrier function in Neonatal-Onset Multisystem Inflammatory Disease (NOMID): CNS biomarkers in NOMID correlate with CNS inflammation Full Text available with Trip Pro

CSF cytokines correlate with aseptic meningitis and blood brain barrier function in Neonatal-Onset Multisystem Inflammatory Disease (NOMID): CNS biomarkers in NOMID correlate with CNS inflammation To evaluate proinflammatory cytokines and leukocyte subpopulations in the cerebrospinal fluid (CSF) and blood of patients with neonatal-onset multisystem inflammatory disease (NOMID) after treatment, and to compare inflammatory cytokines in the CSF and blood in 6 patients treated with 2 interleukin-1

2017 Arthritis & rheumatology (Hoboken, N.J.)

18. Risk Factors for Aseptic Meningitis in Herpes Zoster Patients Full Text available with Trip Pro

Risk Factors for Aseptic Meningitis in Herpes Zoster Patients Herpes zoster (HZ) is caused by reactivation of latent varicella-zoster virus (VZV) infection. HZ-associated aseptic meningitis, a rare complication of HZ, can require hospitalization and a long treatment period.A retrospective study was performed to identify potential factors associated with HZ-associated aseptic meningitis development.We included all outpatients and patients admitted in the neurology and dermatology departments (...) of a single tertiary center, who were diagnosed with HZ for two years. Among 818 patients, 578 patients were eligible for analysis.The demographics and potential risk factors were compared between the uncomplicated HZ group (n=554) and aseptic meningitis group (n=24). Among the potential factors, the dermatological distribution of skin rash and gender showed statistically significantly different between the two groups. Patients with craniocervical distribution of HZ accounted for 87.5% (n=21

2017 Annals of dermatology

19. IVIG Associated Aseptic Meningitis in a Renal Transplant Patient Full Text available with Trip Pro

IVIG Associated Aseptic Meningitis in a Renal Transplant Patient The management of antibody-mediated rejection in renal transplant recipients involves plasmapheresis with IVIG. Aseptic meningitis is a rare adverse effect of IVIG therapy and is a diagnosis of exclusion. We report a case of a renal transplant patient who developed IVIG associated aseptic meningitis in the context of management of antibody-mediated rejection, four years after transplantation.

2017 Case reports in transplantation

20. Infliximab-Induced Aseptic Meningitis during the Treatment of Psoriatic Arthritis Full Text available with Trip Pro

Infliximab-Induced Aseptic Meningitis during the Treatment of Psoriatic Arthritis A 42-year-old Japanese man presented with persistent headache during treatment for psoriatic arthritis (PsA) with infliximab. Treatment with infliximab was initiated 3 years before and the psoriatic skin lesions with arthritis were well controlled. However, after 21 doses of infliximab, the skin lesions and joint pain exacerbated and became intractable. Ten days after the dosage of infliximab was increased (...) resonance imaging were normal, whereas those from cerebrospinal fluid (CSF) examination were almost normal. The CSF contained mononuclear cells and was negative for bacteriological cultures, India ink staining, and polymerase chain reaction amplification of herpesvirus group DNA. Headache and nausea improved 2 months after infliximab was discontinued. The patient failed to respond to infliximab treatment for PsA, and we diagnosed infliximab-induced aseptic meningitis. Infliximab was discontinued

2017 Case reports in dermatology

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