Chemical Meningitis: A Great Simulator
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Keywords

Aseptic meningitis
pituitary adenoma
headache

How to Cite

Chemical Meningitis: A Great Simulator. (2015). Universitas Medica, 56(3), 374-380. https://doi.org/10.11144/Javeriana.umed56-3.mqgs
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Abstract

Chemical meningitis has been reported as a rare adverse reaction secondary to the administration of a large number of pharmacological agents, with a clinical presentation and findings in the cerebrospinal fluid (CSF) which can confuse the etiology of the clinical picture, where the diagnosis is based on a process of exclusion of other entities in the central nervous system. The article presents the case of a 36-year-old woman with a history of surgery for resection of pituitary macroadenoma, who is wanted CSF fistula rule by performing a cisterno-CT with water-soluble contrast, presenting after the accomplishment of this, signs and symptoms suggestive of meningitis, put away septic meningitis.

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Marinac JS. Drug-and chemical-induced aseptic meningitis: a review of the literature. Ann Pharmacother. 1992;26:813-22.

Crook DW, Phuapradit P, Warrell DA. Bacterial meningitis. In: Weatherall DJ, Ledingham JGG, Warrel DA, editors. Oxford textbook of medicine. 3rd ed. Oxford: Oxford Medical Publications; 1996.

Jolles S, Sewell WA, Leighton C. Druginduced aseptic meningitis: diagnosis and management. Drug Saf. 2000;22(3):215-26.

Nakakoshi T, Moriwaka F, Tashiro K, Nakane K, Miyasaka K. Aseptic meningitis complicating iotrolan myelography. AJNR Am J Neuroradiol. 1991;12:173.

Mallat Z, Vassal T, Naouri JF, Prier A, Laredo JD, Offenstadt G. Aseptic meningoencephalitis after iopamidol myelography. Lancet. 1991;338:252.

Zweifler RM, Rothrock JF. Aseptic meningoencephalitis following iohexol myelography. Neuroradiology. 1995;37:148-9.

Viallon A, Zeni F, Lambert C, et al. High sensitivity and specificity of serum procalcitonin levels in adults with bacterial meningitis. Clin Infect Dis. 1999;28:1313-6.

Elkin CM, Levan AM, Leeds NE. Tolerance of iohexol, iopamidol, andmetrizamide in lumbar myelography. Surg Neurol. 1986;26:542-6.

Alexiou J, Deloffre D, Vandresse JH, Boucquey JP, Sintzoff S. Postmyelographic meningeal irritation with iohexol. Neuroradiology. 1991;33:85-6.

Berod T, Knebelmann O, Marjou F. Aseptic meningoencephalitis after iopamidol myelography. Ann Pharmacother. 1993;27:1140.

Cissoko H, Lemesle F, Jonville-Bera AP, Autret-Leca E. Aseptic meningitis after iohexol myelography. Ann Pharmacother. 2000;34:812-3.

Mary R, Veinberg F, Couderc R. Acute meningitidis, acute phase proteinsn and procalcitonin. Ann Biol Clin (Paris). 2003;61:127-37.

Lindquist L, Linne T, Hansson LO, Kalin M, Axelsson G. Value of cerebrospinal fluid analysis in the differential diagnosis of meningitis: a study in 710 patients with suspected central nervous system infection. Eur J Clin Microbiol Infect Dis. 1988;7:374-80.

Bender A, Elstner M, Paul R, Straube A. Severe symptomatic aseptic chemical meningitis following myelography: the role procalcitonin. Neurology. 2009;63:1311-3.

Moris G, García-Monco JC. The challenge of drug-induced aseptic meningitis. Arch Intern Med. 1999;159:1185-94.

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