Document Detail

Headache and painful lymphadenopathy in extracranial or systemic infection: etiology of new daily persistent headaches.
MedLine Citation:
PMID:  8286828     Owner:  NLM     Status:  MEDLINE    
From 108 cases of new daily persistent headaches, clinical or laboratory evidence was found suggesting extracranial or systemic infections in: 28 cases (25.9%) of gastrointestinal mainly Salmonella, 28 (25.9%) urinary Coli, 16 (14.8%) Streptococcal, 4 (3.7%) each of Epstein Barr virus or Toxoplasma, and 1 (0.9%) each of Herpes Zoster or pneumonia. A group of 26 (24.1%) showed high Proteus OX titer or clinical adenoviral involvement. All had normal neurological examinations plus selective negative neuroimaging or spinal taps. The mean headache duration was 13.8 days, and mean age 28.8 years. Prominent symptoms were fever in 37 (34.2%) cases, nausea/vomiting in 30 (27%) and vertigo in 17 (15.7%). Diarrhea, dysuria, and abdominal discomfort were rare. Headache was a solitary symptom in 36 (33.3%). The predominant sign was painful cervical lymphadenopathy in 61 (56.5%). These cases represent 1.2% of our 9060 neurology patients.
J R Santoni; C J Santoni-Williams
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  32     ISSN:  0918-2918     ISO Abbreviation:  Intern. Med.     Publication Date:  1993 Jul 
Date Detail:
Created Date:  1994-02-18     Completed Date:  1994-02-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  530-2     Citation Subset:  IM    
Department of Neurology, Universidad Autonoma de Santo Domingo, Dominican Rep.
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MeSH Terms
Bacterial Infections / complications
Child, Preschool
Continental Population Groups
Dominican Republic / epidemiology
Fever / etiology
Gastrointestinal Diseases / complications,  microbiology
Headache / epidemiology,  etiology*,  microbiology,  parasitology
Infection / complications*
Lymphatic Diseases / epidemiology,  etiology*,  microbiology,  parasitology
Middle Aged
Tonsillitis / complications,  microbiology
Toxoplasmosis / complications
Urinary Tract Infections / complications
Virus Diseases / complications

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