| Headache and painful lymphadenopathy in extracranial or systemic infection: etiology of new daily persistent headaches. | |
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MedLine Citation:
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PMID: 8286828 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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J R Santoni; C J Santoni-Williams |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Internal medicine (Tokyo, Japan) Volume: 32 ISSN: 0918-2918 ISO Abbreviation: Intern. Med. Publication Date: 1993 Jul |
Date Detail:
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Created Date: 1994-02-18 Completed Date: 1994-02-18 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9204241 Medline TA: Intern Med Country: JAPAN |
Other Details:
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Languages: eng Pagination: 530-2 Citation Subset: IM |
Affiliation:
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Department of Neurology, Universidad Autonoma de Santo Domingo, Dominican Rep. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Bacterial Infections / complications Child Child, Preschool Continental Population Groups Dominican Republic / epidemiology Female Fever / etiology Gastrointestinal Diseases / complications, microbiology Headache / epidemiology, etiology*, microbiology, parasitology Humans Infection / complications* Lymphatic Diseases / epidemiology, etiology*, microbiology, parasitology Male Middle Aged Neck Occupations Recurrence Tonsillitis / complications, microbiology Toxoplasmosis / complications Urinary Tract Infections / complications Virus Diseases / complications |
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