Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0042384 (vasculitis)
 20,525 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The pathological features of twenty-three cases of tuberculous meningitis, examined over a twenty year period are reported. Ten cases, diagnosed clinically, were treated; thirteen undiagnosed cases were not treated. Phlebitis was found in twenty-two and arteritis of varying degrees in twenty. Tuberculous thrombophebitis was observed in eight cases and haemorrhagic infarction was present in ten. One case showed thrombosis in the territory of the mid-cerebral artery with ipsilateral white infarction; four presented white infarctions which were attributed to end- or panarteritic changes. previous descriptions of intracranial tuberculous thrombosis are briefly reviewed. Possible consequences of this vasculitis are mentioned.
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PMID:Thrombogenic intracranial vasculitis in tuberculous meningitis. A 20 year "post mortem" survey. 84 74

114 patients with meningococcal infection were studied; 72 had group C infection and 42 group A infection. 14 patients had acute meningococcaemia, all of whom had group C infection and 9 of whom died. Clinical and laboratory findings were similar in patients with meningitis due to a group A and C organisms, but arthritis and cutaneous vasculitis were more common in patients with group C infection. The overall mortality was 22% in patients with group C infection, and 12% in patients with group A infection, but was the same in both groups when cases of acute meningococcaemia are excluded.
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PMID:Comparative study of group A and group C meningococcal infection. 86 Aug 75

Both adult and suckling Richardson's ground squirrels (Spermophilus richardsonii) were susceptible to subcutaneous exposure with western equine encephalomyelitis (WEE) virus, but the virus was more virulent for sucklings than adults. In sucklings, the incubation period was from 4 to 5 days, followed by apparent signs of central nervous system (CNS) involvement. Death occurred 10 to 13 days postexposure. In adults, infections were inapparent or acute with typical signs of CNS involvement similar to those observed in sucklings. In both age groups, brain and lymph nodes were the most frequently involved tissues. The highest titres of virus were recovered from brain, sections of which also showed the most marked histological changes. Lesions in the brain included multifocal vasculitis, perivascular edema, perivascular cuffing, focal or diffuse gliosis, parenchymal hemorrhage, meningitis with infiltration of mononuclear cells, neuronal degeneration, and occasional demyelination. For both age groups, viremias were detected for 3 to 5 days with a maximum virus titre of 4 to 6 logs, a sufficient time and magnitude to infect numerous mosquitoes, further supporting the hypothesis that S. richardsonii may serve as an amplifying host of WEE virus in the prairie provinces.
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PMID:Subcutaneous exposure of the Richardson's ground squirrel (Spermophilus richardsonii Sabine) to western equine encephalomyelitis virus. 93 16

Antibiotic therapy of bacterial meningitis is being reevaluated due to reports of ampicillin-resistant strains of Hemophilus influenzae type b. The infant reported had a relapse of H. influenzae type b meningitis after an excellent clinical and bacteriologic response to an initial course of combined antibiotic therapy including chloramphenicol. This relapse is postulated to be due to localized cerebral vasculitis which was not treated for a sufficient period of time during the initial course of therapy. The patient responded well to a second course of penicillin and chloramphenicol. Since the use of pencillin and chloramphenicol will be increasing, the clinician should be aware that bacteriologic relapse of H. influenzae type b meningitis may occur with chloramphenicol therapy.
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PMID:Relapse of Hemophilus influenzae type b meningitis after combined antibiotic therapy: report of a case. 108 7

Serum C3 levels were measured in 211 patients with meningococcal disease. Low levels were found in 13 patients with acute meningococcaemia, and complement activation may have contributed to the peripheral circulatory collapse that was responsible for nine deaths. The complement profile of these patients suggested activation of both classical and alternative complement pathways. Patients with meningitis had a higher mean serum C3 level than controls. Serial studies in 13 serum antigen-positive patients with meningitis who subsequently developed arthritis or cutaneous vasculitis showed a transient fall in serum C3 in eight. This fall was probably due to the formation of immune complexes that were responsible for their allergic complications.
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PMID:Complement and meningococcal infection. 126 Mar 36

Six cases of apparent and four cases of histopathologically confirmed vasculitis of the central nervous system (CNS), including one case of histopathologically documented vasculitis with encephalitis associated with coccidioidal meningitis (CM), are presented. Vasculitic complications included changes in mental status as well as stroke-like findings of aphasia, hemianopsia, and hemiparesis. Seven patients died. Vasculitic complications were unanticipated and often abrupt in onset, and delayed therapeutic intervention was characteristic. The diagnosis of vasculitis/encephalitis due to Coccidioides immitis infection must be based on clinical judgment, since serum antibody titers, cerebrospinal fluid findings, and initial radiological studies are not always helpful. Institution of both intravenous and intracisternal administration of amphotericin B and possibly concomitant intravenous administration of dexamethasone may be warranted in situations in which the association of C. immitis with CNS vasculitis or encephalitis appears likely before serologic or cultural confirmation of C. immitis infection involving the CNS is available.
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PMID:Vasculitic and encephalitic complications associated with Coccidioides immitis infection of the central nervous system in humans: report of 10 cases and review. 156 59

Lyme neuroborreliosis is one of the chronic manifestations of Lyme disease and is caused by the neurotropic spirochete, Borrelia burgdorferi. Two of the three stages of Lyme disease potentially involve the central nervous system: a second stage that may manifest as meningitis, cranial neuritis, or radiculoneuritis; and a third stage, or chronic neuroborreliosis, with parenchymal involvement. The tertiary stage may mimic many conditions, including multiple sclerosis, polyneuropathy, viral encephalitis, brain tumor, vasculitis, encephalopathy, psychiatric illness, and myelopathy. We report a 10-year-old child with signs, symptoms, and radiological manifestations of intracranial mass lesions, without previously recognized manifestations of Lyme disease. This proved to be Lyme neuroborreliosis, documented by histological and serological examination, which responded well to antibiotic therapy. The need to establish a tissue diagnosis of intracranial mass lesions is emphasized, and the utility of a computed tomographic-guided stereotactic system for this purpose is discussed.
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PMID:Lyme neuroborreliosis manifesting as an intracranial mass lesion. 158 93

We examined whether experimental pneumococcal meningitis induced the 72-kd heat shock protein (HSP72), a sensitive marker of neuronal stress in other models of central nervous system (CNS) injury. Brain injury was characterized by vasculitis, cerebritis, and abscess formation in the cortex of infected animals. The extent of these changes correlated with the size of the inoculum (P less than 0.003) and with pathophysiologic parameters of disease severity, i.e., cerebrospinal fluid (CSF) lactate (r = 0.61, P less than 0.0001) and CSF glucose concentrations (r = -0.55, P less than 0.0001). Despite the presence of numerous cortical regions having morphologic evidence of injury, HSP72 was not detected in most animals. When present, only rare neurons were HSP72 positive. Western blot analysis of brain samples confirmed the paucity of HSP72 induction. The lack of neuronal HSP72 expression in this model suggests that at least some of the events leading to neuronal injury in meningitis are unique, when compared with CNS diseases associated with HSP72 induction.
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PMID:Experimental pneumococcal meningitis causes central nervous system pathology without inducing the 72-kd heat shock protein. 163 71

Granulomatous meningitis was present in 6/33 bovine fetuses from which Brucella abortus (B. abortus) had been isolated. Meningitis was severe in three fetuses, moderate in one fetus, and mild in the remaining two fetuses. The meningitis was characterized by the infiltration of a mixed population of lymphocytes, plasma cells, and macrophages in the leptomeninges. Vasculitis characterized by the infiltration of lymphocytes and plasma cells in the vascular wall was observed in the vessels of the cerebral cortices of 4/6 fetuses. Gram negative coccobacilli were present in the cytoplasm of the leptomeningeal macrophages and extracellularly. Brucellar antigens labeled by the avidin-biotin-peroxidase complex method were present in massive amounts in leptomeningeal macrophages and in small foci of stained cells in the choroid plexus and ependyma. The findings indicate that B. abortus is one of pathogens capable of inducing meningitis in bovine fetuses.
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PMID:Brucella abortus-associated meningitis in aborted bovine fetuses. 177 39

Mycoplasma gallisepticum (MG) infection was diagnosed in three different flocks of 12-to-16-week-old commercial meat turkeys displaying torticollis and/or opisthotonos. MG was isolated from the brain, air sacs, trachea, and sinus of one bird with neurological signs. Histological examination of brains in all three cases revealed moderate-to-severe encephalitis with lymphoplasmacytic cuffing of vessels, fibrinoid vasculitis, focal parenchymal necrosis, and meningitis. Birds with neurological signs were seropositive for MG by the serum-plate agglutination and hemagglutination-inhibition tests. The encephalitic form of MG has been described previously but is rarely mentioned in the current literature.
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PMID:Meningoencephalitis in commercial meat turkeys associated with Mycoplasma gallisepticum. 178 29


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