BACKGROUND Whether creatine-kinase (CK) is elevated or not in chronic inflammatory demyelinating polyneuropathy (CIDP) and its variants is not comprehensively investigated. CASE REPORT We report the case of a 47-year-old male who developed weakness of the left lower leg and the right index finger at age 42 years. At age 44 years, paresthesias and dysesthesias of both lower legs and mild right l...

For patients with cerebrospinal fluid (CSF) shunts, culture of the CSF remains the most valuable tool in the evaluation of suspected shunt infections. To detect anaerobic Propionibacterium sp., a well-described cause of these infections, many clinical microbiology laboratories routinely employ a broth medium as an adjunct to solid media. The use of broth, however, creates a diagnostic dilemma s...

In recent years, viridans streptococci have been reported with increasing frequency to cause infections in neutropenic cancer patients. Streptococcus mitis, one of the species included among viridans streptococci, is the most resistant to beta-lactam antibiotics in this group. Bacterial meningitis presenting without pleocytosis in the cerebrospinal fluid (CSF) is rare, and this situation could ...

BACKGROUND Reports of histiocytic sarcoma (HS) involving the central nervous system (CNS) are sparse and consist mainly of case reports describing 1-3 animals. OBJECTIVE The objective of this study was to report the signalments, clinical signs, clinicopathologic and diagnostic imaging findings, treatment, and outcome of a series of dogs with HS and CNS involvement. ANIMALS Nineteen dogs wit...

An 11-year-old, female, neutered labrador retriever with a history of chronic and progressive right hindlimb lameness facial asymmetry was referred for brain lumbosacral magnetic resonance imaging cerebrospinal fluid analysis. Multifocal non-enhancing T2-weighted images hyperintense lesions were observed in the caudate nuclei medulla oblongata. The oculomotor nerve markedly enlarged showed mark...

In Europe, the hard tick Ixodes ricinus is considered most important vector of human zoonotic diseases. Human pathogenic agents spread by I. in Sweden include Borrelia burgdorferi sensu lato (s.l.), Anaplasma phagocytophilum, Rickettsia helvetica, recently described Neoehrlichia mikurensis, miyamotoi, tick-borne encephalitis virus (TBEV), and Babesia spp. (Babesia microti, venatorum divergens)....

We herein report a 75-year-old man who developed disturbed consciousness with polynuclear cell dominant pleocytosis and low glucose extremely high interleukin (IL)-6 levels in his cerebrospinal fluid. The biopsy specimen from right supraclavicular lymph node showed the infiltration of inflammatory cells positive for IgG, IgG4 IL-6. Prednisolone azathioprine administered under suspicion IgG4-rel...

The most common type of autoimmune encephalitis is anti-NMDAR-encephalitis. It characterized by IgG an­tibodies against the GluN1 subunit NMDA receptor, leading to marked neuropsychiatric and behavioural symptoms that progress in a subacute manner seizures, speech abnormalities, depressed level con­sciousness. In this case report, clinical course 30-year-old man who first received treatment for...

PURPOSE Human parechovirus (HPeV) and enterovirus (EV) are causative agents of a sepsis-like illness in neonates and of infections of the central nervous system in young children. The objectives of this study were to assess the prevalence of HPeV3 and EV infection in young children with a sepsis-like illness or with meningitis in Jinju, Korea. METHODS Cerebrospinal fluid (CSF) samples were co...