Legionellosis presenting as singultus and external ophthalmoplegia

被引:12
作者
Konno, Shingo [1 ]
Kono, Haruhi [2 ]
Kitazono, Hisao [1 ]
Murata, Mayumi [1 ]
Nakazora, Hiroshi [1 ]
Nomoto, Nobuatsu [1 ]
Sugimoto, Hideki [1 ]
Sanno, Ken [2 ]
Fujioka, Toshiki [1 ]
机构
[1] Toho Univ, Div Neurol, Dept Internal Med, Ohashi Med Ctr,Meguro Ku, Tokyo 1538515, Japan
[2] Toho Univ, Div Resp, Dept Internal Med, Ohashi Med Ctr,Meguro Ku, Tokyo 1538515, Japan
关键词
Legionellosis; Singultus; Abducens nerve palsy; Oligoclonal band; IgG index; LEGIONNAIRES-DISEASE; CEREBELLAR INVOLVEMENT; MULTIPLE-SCLEROSIS;
D O I
10.1007/s10072-011-0927-3
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We report a 71-year-old man with legionellosis, who presented with abducens nerve palsy, singultus, confusion, memory impairment, ataxia, and hyporeflexia. Legionella pneumonia was diagnosed on the basis of detection of Legionella pneumophila antigen in the urine. The cerebrospinal fluid was negative for the antigen and antibody, but an oligoclonal band was detected, and the IgG index was elevated. It was speculated that an undetermined immune-mediated mechanism had contributed to the development of the neurological manifestations.
引用
收藏
页码:1435 / 1437
页数:3
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