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Title: | Central nervous system melioidosis, the mimic of cerebral tuberculosis |
Authors: | Wongwandee M. Kiatsoontorn K. Linasmita P. |
Keywords: | amoxicillin plus clavulanic acid cefoperazone plus sulbactam ceftazidime ciprofloxacin cotrimoxazole doxycycline gadolinium meropenem phenytoin tetracycline adult antibiotic sensitivity Article Babinski reflex bacterium culture brain abscess brain biopsy brain damage brain tumor Burkholderia pseudomallei case report central nervous system disease central nervous system tuberculosis clinical article craniotomy diffusion weighted imaging drug substitution drug withdrawal dura mater edema focal dural thickening frontoparietal cortex granulomatous inflammation human hyperreflexia hypertransaminasemia leg weakness liver function test male melioidosis middle aged nuclear magnetic resonance imaging pinprick test seizure sensorimotor function tonic clonic seizure vasogenic edema weakness |
Issue Date: | 2017 |
Abstract: | The central nervous system (CNS) melioidosis is uncommon. The authors report a case of melioidosis brain abscess who presented with a 5-month history of seizures and right leg weakness. The presentation, neuroimages, and pathology mimicked tuberculous granuloma or abscess. The diagnosis was finally made by the culture of subdural tissue. The authors advise that the CNS melioidosis should be suspected if a patient presenting with CNS granuloma or abscess lives in the endemic area of melioidosis and has any of its risk factors. Prompt diagnosis and treatment remain crucial due to its high mortality rate. © 2017 Medical Association of Thailand. All rights reserved. |
URI: | https://ir.swu.ac.th/jspui/handle/123456789/13175 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074997336&partnerID=40&md5=80743372725c24bda2635255ddd9da36 |
ISSN: | 1252208 |
Appears in Collections: | Scopus 1983-2021 |
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