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Aseptic Meningitis with Relapsing Polychondritis Mimicking Bacterial Meningitis

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Title: Aseptic Meningitis with Relapsing Polychondritis Mimicking Bacterial Meningitis
Authors: Yaguchi, Hiroaki Browse this author
Tsuzaka, Kazufumi Browse this author
Niino, Masaaki Browse this author →KAKEN DB
Yabe, Ichiro Browse this author →KAKEN DB
Sasaki, Hidenao Browse this author →KAKEN DB
Keywords: aseptic meningitis
relapsing polychondritis
polymorphonuclear leukocytes
cerebrospinal fluid (CSF)
bacterial meningitis
Issue Date: 2009
Publisher: Japanese Society of Internal Medicine
Journal Title: Internal Medicine
Volume: 48
Issue: 20
Start Page: 1841
End Page: 1844
Publisher DOI: 10.2169/internalmedicine.48.2173
Abstract: 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.
Type: article (author version)
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 矢部 一郎

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