• Title/Summary/Keyword: meningoencephalitis

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Transient Non-Regenerative Anemia in a Dog with Granulomatous Meningoencephalitis Following Leflunomide Treatment

  • Ga-Hyun Lim;Ju-Hyun An;Su-Min Park;Jeong-Hwa Lee;Ye-In Oh;Kyoung-Won Seo;Hwa-Young Youn
    • 한국임상수의학회지
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    • 제41권3호
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    • pp.165-169
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    • 2024
  • A 10-year-old, spayed female Maltese dog was tentatively diagnosed with granulomatous meningoencephalitis (GME) on magnetic resonance imaging. The meningoencephalitis was classified as aseptic GME because cerebral fluid analysis did not reveal an infectious aetiology. Two months after leflunomide treatment (Arava; Sanofi; 4 mg/kg/day), the patient developed non-regenerative, macrocytic, and normochromic anemia. As the patient's anaemia began after the administration of leflunomide, and other differentials for anaemia had been ruled out, the leflunomide was determined to be the cause and this treatment ended. After 15 days, the anaemia resolved spontaneously. This is the first report of reversible aplastic anaemia following treatment with leflunomide in a canine patient with GME.

수막뇌염을 모방한 드문 뇌 자기공명영상 소견을 보인 하시모토 뇌병증: 증례 보고 및 문헌고찰 (Hashimoto's Encephalopathy with Unusual MRI Findings Mimicking Meningoencephalitis: A Case Report and Literature Review)

  • 서희붐;김현석;김학진
    • 대한영상의학회지
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    • 제81권2호
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    • pp.453-458
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    • 2020
  • 하시모토 뇌병증은 다른 대뇌 질환의 증거가 없이 항갑상선 항체의 높은 혈청 농도를 특징으로 하는 드문 자가 면역 질환이다. 하시모토 뇌병증의 자기공명영상 소견은 비특이적이고, 현재까지 미만성 또는 국소 백질 변화가 보고 된 바 있다. 저자는 증가된 항갑상선 항체와 동반하여 수막뇌염과 유사한 영상 소견을 보인 79세 여성의 하시모토 뇌병증을 경험하여 이에 대해 보고하고자 한다. 환자의 일련의 자기공명영상에서 치료 전 관찰되던 여러 T2-고강도 병변과 미만성의 뇌수막 조영증강은 스테로이드 요법 후 소실되었다.

담비의 개디스템퍼 바이러스 자연 감염례 (Canine distemper virus infection in a marten)

  • 우계형;김재훈;진영화;이남일;황선욱;서일복;안동준
    • 한국수의병리학회지
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    • 제3권1호
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    • pp.61-64
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    • 1999
  • A dead marten(Martes melampus) showing cough, ataxia and convulsion of hind limb followed by seizures, was submitted for diagnosis to the Pathology Division of the National Veterinary Research and Quarantine Service. In the gross lesions, lung was congested and consolidated and meningeal blood vessels were mildly congested. Histopathologic findings were diffuse interstitial pneumonia and nonsuppurative meningoencephalitis with malacia of cerebral and cerebellar white matter. Eosinophilic inclusion bodies were observed in neurons and astrocytes and oligodendroglial cells of brain and transitional epithelium of kidney. Using FA test and PCR method, specific antigens of canine distemper virus were demonstrated in the brain.

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제주지역 재래흑돼지 모돈에서 발생한 소금중독증 (Salt poisoning in a Jeju native black sow)

  • 양형석;강상철;김재범;김재훈
    • 한국동물위생학회지
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    • 제35권1호
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    • pp.59-62
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    • 2012
  • A 3-year-old Jeju native black sow with sudden death was requested to the Jeju Self-Governing Provincial Veterinary Research Institute for diagnosis in July 2009. Because the pig died suddenly, we could not find any clinical signs. Gross lesions such as pulmonary edema, redness of heart, liver, kidney and lymph nodes were observed at necropsy. Histopathologically, there were severe eosinophilic meningoencephalitis, atrophy, degeneration and necrosis of laminar neurons, and neovascularization in cerebral cortex. Based on histopathological findings and history taking about temporal suspension of water supply, this case was diagnosed as salt poisoning of a Jeju native sow. In our best knowledge, this is the first report for salt poisoning of sow in Korea, especially in Jeju native pig.

단순헤르페스뇌염에서 무증상 혈종 (Asymptomatic Hematoma in Herpes Simplex Encephalitis)

  • 송수진;나부석;송종민;우호걸;이도경;안태범
    • Annals of Clinical Neurophysiology
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    • 제17권2호
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    • pp.82-85
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    • 2015
  • A 59-year old man was admitted for drowsiness and stiff neck. CSF examination showed lymphocytic pleocytosis and PCR for herpes simplex virus (HSV)-1 was positive in CSF. Brain MRI revealed enhanced lesions in left temporal lobe. His symptom improved with acyclovir. Follow-up studies showed red blood cells in CSF and a hematoma in the left temporal lobe. There was no additional symptom related to the hematoma. He was discharged after conservative care. Although rare, hematoma can develop in HSV-1 meningoencephalitis.

닥스훈트견의 바이러스성 뇌수막염에서 1.5T와 7T 자기공명영상을 이용한 진단 증례 (Meningoencephalitis in Dachshund Dog with Canine Distemper Virus Infection: 1.5 T and 7.0 T MRI Findings)

  • 강민희;박희명
    • 한국임상수의학회지
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    • 제27권6호
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    • pp.755-759
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    • 2010
  • 6년령의 암컷 닥스훈트견이 2일전 발생한 발작증상으로 내원하였다. 기본 신체검사, 실험실 검사 및 신경검사를 통해, 뇌 질환에 의한 발작이 의심되었다. 환자는 1.5T와 7T 자기공명영상을 통한 진단이 시도 되었다. T2 영상에서 간뇌 에서 연수 부위까지 광범위한 고신호성 뇌병변이 관찰되었다. 뇌척수액의 중합효소연쇠반응(RT-PCR)을 통하여, 개 디스템퍼 바이러스가 검출되었으며, 이를 근거로, 개 디스템퍼 바이러스에 의한 뇌수막염이 최종 진단 되었다. 지속적인 상태 악화에 의해, 환자는 진단 7일 뒤 보호자의 요청에 의해 안락사가 실시되었다. 사후 부검을 통한 조직검사에서 자기공명영상과 같은 부위의 뇌병변이 확인 되었다. 결론적으로 본 증례는 바이러스에의한 뇌병변의 1.5T와 7T 자기공명영상을 통한 첫 번째 진단 증례 보고 이다.

원인불명의 수막뇌염을 보인 개에서 Cytosine Arabinoside와 Prednisolone으로 치료한 2례 (Combined Cytosine Arabinoside and Prednisolone Therapy for Meningoencephalitis of Unknown Etiology in 2 Dogs)

  • 김태호;서경원;이영흔;황철용;이영원;윤화영
    • 한국임상수의학회지
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    • 제27권4호
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    • pp.462-467
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    • 2010
  • A Maltese (5-years old, castrated male) and a Yorkshire Terrier (8-years old, intact female) were referred to Seoul National University Hospital for Animals with ataxia, circling, depression and anorexia. It was suspected to meningoencephalitis of unknown etiology (MUE) based on neurological signs, magnetic resonance imaging findings, cerebrospinal fluid analysis and canine distemper virus antigen test. Immunosuppressive dose of corticosteroid was initially chosen to treat in two dogs. However, the clinical signs were relapsed and side effects had arisen including polyuria, polydipsia, calcinosis cutis, liver enzyme elevation, weight gain and abdominal distension. Combination therapy of cytosine arabinoside (CA) and prednisolone (PDS) was tried. With this combination, the clinical signs were resolved and the side effects were alleviated. The dose of PDS was tapered to 0.5 mg/kg q48h in one case and the PDS was discontinued in the other case. These cases suggested that combined CA and PDS therapy may be significantly useful for the treatment of MUE uncontrolled by PDS alone.

말티즈견에서 괴사성 뇌막뇌염 증례 (A Case of Necrotizing Meningoencephalitis in a Maltese Dog)

  • 박진희;엄기동;김재훈;성윤상;이해운;이상관;장광호;이근우;권오덕;박현정;오태호
    • 한국임상수의학회지
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    • 제22권3호
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    • pp.284-287
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    • 2005
  • A 18-month-old, male Maltese dog with acute seizure was referred to Veterinary Medical Teaching Hospital, Kyungpook National University. Abnormal neurologic findings included a tendency to fall to the left, turn and circle to the right, negative bilateral menace responses and pupillary light reflexes, and diminished responses to facial sensation testing on both sides. Radiographic signs were normal, except for occipital dysplasia. Magnetic resonance imaging of the brain revealed bilateral asymmetric ventriculomegaly, which is more on left side. Cerebral edema was also suspected. The dog died after 9 days from the onset of seizure, and a necropsy was performed. Histopathologically, the brain lesions in the meninges and the cerebral cortex of this dog was presented. There was severe diffuse nonsuppurative inflammation in perivascular area of the meninges and the cerebral white matter. Based on the results, this case was diagnosed as necrotizing meningoencephalitis in Maltese dog.