Encephalitis secondary to nitrous oxide and vitamin B deficiency.

Hughes, Gareth, Moran, Ed and Dedicoat, Martin J (2019) Encephalitis secondary to nitrous oxide and vitamin B deficiency. BMJ case reports, 12 (12). ISSN 1757-790X. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Official URL: https://casereports.bmj.com/content/12/12/e229380

Abstract

A 27-year-old woman presented with confusion, agitation and fever. Having initially been treated as an infective encephalitis case her initial and subsequent lumbar punctures revealed cerebrospinal fluid with a worsening pleocytosis and elevated protein. It was initially felt she had been suffering from tuberculous meningitis and started on treatment it later became apparent that she had a severe vitamin B deficiency related to recreational nitrous oxide use. She also was noted to have a peripheral neuropathy. After replacing her vitamin B and later stopping her tuberculous medication once cultures were negative her cognition and peripheral neuropathy continued to improve.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: WL Nervous system. Neurology
Divisions: Clinical Support > Infectious Diseases
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Depositing User: Mrs Yolande Brookes
Date Deposited: 06 Dec 2019 14:18
Last Modified: 06 Dec 2019 14:18
URI: http://www.repository.uhblibrary.co.uk/id/eprint/2660

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