Document Detail


Isolated pontine lesion in algid cerebral malaria: clinical features, management, and magnetic resonance imaging findings.
MedLine Citation:
PMID:  8333575     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Malaria, the most important of all tropical diseases, causes approximately one million deaths per year. In Plasmodium falciparum malaria, the organs most affected are the brain, kidneys, lungs, and liver. Cerebral involvement is the most important lethal complication with a mortality rate of up to 50%. We report a patient with malignant, tertian falciparum malaria with an initial parasitemia rate of 60% and severe cerebral, hepatorenal, and pulmonary involvement. In addition to the severe diffuse encephalopathy, an initial neurologic examination showed signs of a pontine lesion that was confirmed by cerebral magnetic resonance imaging. We therefore conclude that cerebral malaria may be responsible for focal neurologic lesions that can be demonstrated by this procedure.
Authors:
A W Kampfl; G G Birbamer; B E Pfausler; H P Haring; E Schmutzhard
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of tropical medicine and hygiene     Volume:  48     ISSN:  0002-9637     ISO Abbreviation:  Am. J. Trop. Med. Hyg.     Publication Date:  1993 Jun 
Date Detail:
Created Date:  1993-08-19     Completed Date:  1993-08-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370507     Medline TA:  Am J Trop Med Hyg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  818-22     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurology, University Hospital, Innsbruck, Austria.
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Component Transfusion
Exchange Transfusion, Whole Blood
Female
Humans
Magnetic Resonance Imaging
Malaria, Cerebral / pathology*,  therapy
Mefloquine / therapeutic use
Plasma
Pons / pathology*
Quinine / therapeutic use
Chemical
Reg. No./Substance:
130-95-0/Quinine; 53230-10-7/Mefloquine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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