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10.1186/s12883-015-0383-4 http://scihub22266oqcxt.onion/10.1186/s12883-015-0383-4 C4520183!4520183 !26223226     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26223226 &cmd=llinks): Failed to open stream: HTTP request failed! 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Misdiagnosed murine typhus in a patient with multiple cerebral infarctions and hemorrhage: a case report |pdf=|usr=}}{{26223226 }} gab.com Text Misdiagnosed murine typhus in a patient with multiple cerebral infarctions and hemorrhage: a case report JO: BMC Neurol http://www.kidney.de/pget.php?&tw=1&pmid=26223226 #FOAvip BACKGROUND: Rickettsias cause a wide spectrum of tick-, flea-, or mite-borne infections. Rickettsial infections have no classical manifestations and can often lead to encephalitis, which can be fatal if improperly diagnosed. CASE PRESENTATION: A 74-year-old male farmer was admitted to the hospital with fevers and a headache that had lasted for 10 days, followed by 4 days of unconsciousness, and his condition continued to deteriorate. Images showed multiple acute lesions in the brain stem, and bilateral cerebral and cerebellar hemispheres. He was finally diagnosed with endemic typhus and treated with antibiotics that resulted in improvement. CONCLUSION: The present report describes a patient with a rickettsial infection and subsequent deterioration to coma because of an initial misdiagnosis. Because of the similarity to other infectious diseases, physicians should be more vigilant towards the history and radiologic results to ensure early detection and avoid complications which may prove to be fatal. Twit Text FOAVip Misdiagnosed murine typhus in a patient with multiple cerebral infarctions and hemorrhage: a case report ????BMC Neurol http://www.kidney.de/pget.php?&tw=1&pmid=26223226 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26223226 #FOAvip English Wikipedia <ref>{{Cite pmid|26223226 }}</ref> Misdiagnosed murine typhus in a patient with multiple cerebral infarctions and hemorrhage: a case report #MMPMID26223226 Xu Z ; Zhu X ; Lu Q ; Li X ; Hu Y BMC Neurol 2015[Jul]; 15 (ä): 121 PMID26223226 show ga BACKGROUND: Rickettsias cause a wide spectrum of tick-, flea-, or mite-borne infections. Rickettsial infections have no classical manifestations and can often lead to encephalitis, which can be fatal if improperly diagnosed. CASE PRESENTATION: A 74-year-old male farmer was admitted to the hospital with fevers and a headache that had lasted for 10 days, followed by 4 days of unconsciousness, and his condition continued to deteriorate. Images showed multiple acute lesions in the brain stem, and bilateral cerebral and cerebellar hemispheres. He was finally diagnosed with endemic typhus and treated with antibiotics that resulted in improvement. CONCLUSION: The present report describes a patient with a rickettsial infection and subsequent deterioration to coma because of an initial misdiagnosis. Because of the similarity to other infectious diseases, physicians should be more vigilant towards the history and radiologic results to ensure early detection and avoid complications which may prove to be fatal. |*Diagnostic Errors [MESH] |*Rickettsia [MESH] |Aged [MESH] |Anti-Bacterial Agents/therapeutic use [MESH] |Brain Stem/microbiology [MESH] |Cerebral Infarction/complications/*diagnosis [MESH] |Coma [MESH] |Farmers [MESH] |Fever/complications/*diagnosis [MESH] |Hemorrhage/complications/*diagnosis [MESH] |Humans [MESH] |Magnetic Resonance Imaging [MESH] |Male [MESH] |Treatment Outcome [MESH] |Typhus, Endemic Flea-Borne/complications/*diagnosis [MESH]Misdiagnosed murine typhus in a patient with multiple cerebral infarct(epmc).pdf DeepDyve Pubget Overpricing