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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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:	WC Communicabable diseases WF Respiratory system. Respiratory medicine WL Nervous system. Neurology
Divisions:	Emergency Services > Neurology
Related URLs:	https://pubmed.ncbi.nlm.nih.gov/31796450...
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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