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
Full text not available from this repository.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 |
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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: | WC Communicabable diseases WF Respiratory system. Respiratory medicine WL Nervous system. Neurology |
Divisions: | Emergency Services > Neurology |
Related URLs: | |
Depositing User: | Jamie Edgar |
Date Deposited: | 01 May 2020 14:47 |
Last Modified: | 01 May 2020 14:47 |
URI: | http://www.repository.uhblibrary.co.uk/id/eprint/3040 |
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