A 30-year-old man with a generalized tonic-clonic seizure and left temporal-lobe mass

Article Abstract:

A 30-year-old bartender with a mass in the left temporal lobe of the brain was admitted to the hospital after a seizure and an earlier motorcycle accident. The man had been sexually active without protection while visiting Brazil in the previous year. After ruling out tumor and the complication of a sexually transmitted disease, a brain biopsy was analyzed. Further diagnostic tests revealed granulomatous encephalitis and a Schistosoma mansoni infection in the brain. After taking praziquantel and corticosteroids, the patient recovered without further seizures but continued with phenytoin therapy.

Schistosomiasis, Encephalitis, Seizures (Medicine)

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A 51-year-old man with chronic obstructive pulmonary disease and generalized muscle weakness

Article Abstract:

A 51-year-old man was admitted to a hospital for respiratory failure. He was placed on a ventilator and given corticosteroids. One month later, he developed weakness in his extremities. However, many nerve conduction studies were normal. Disorders of neuromuscular transmission were also ruled out. His case seemed to fit a syndrome called critical-illness myopathy, which is seen in some patients with trauma or burns. It may also be associated with corticosteroid use. A muscle biopsy revealed that he had pathological changes in his muscles, including a loss of myosin filaments.

Health aspects, Muscle diseases, Muscular diseases, Critically ill

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A 61-year-old man with transient quadriplegia and apnea

Article Abstract:

A 61-year-old man whose arms and legs became temporarily paralyzed was diagnosed with a lymphoblastic lymphoma in the membranes surrounding the spinal cord in his neck. He was treated with corticosteroids and radiotherapy.

Case studies, Lymphomas, Quadriplegia

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