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pseudotumoral acute cerebellitis associated with mumps infection in a child

World Journal of Clinical Cases 2017年第8期5卷 340-343页

作者： Houda Ajmi Mehdi Gaha Sameh Mabrouk Saida Hassayoun Noura Zouari Jalel Chemli Saoussen Abroug Pediatrics Depart-ment Sahloul University Hospital Radiology Department Sahloul University Hospital

pseudotumoral cerebellitis in childhood is an uncommon presentation of cerebellitis mimicking a brain tumor. It often follows an inflammatory or infectious event, particularly due to varicella virus. Patients could have a wide clinical spectrum on presentation. Some patients may be asymptomatic or present at most with mild cerebellar signs, whereas others may suffer severe forms with brainstem involvement and severe intracranial hypertension mimicking tumor warranting surgical intervention. Imaging techniques especially multimodal magnetic resonance imaging represent an interesting tool to differentiate between posterior fossa tumors and acute cerebellitis. We describe a case of pseudotumoral cerebellitis in a 6-year-old girl consequent to mumps infection and review the literature on this rare association.

关键词： Acute cerebellitis pseudotumoral cerebellitis Posterior fossa tumor Children Mumps

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pseudotumoral Abdominal Tuberculosis in Immunocompetent Adults: Report of Three Cases and Review of the Literature

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Journal of Tuberculosis Research 2017年第1期5卷 23-29页

作者： T. Lamsiah A. Zinebi Y. Touibi K. Moudden N. Lahmidani B. Zainoun M. El Baaj Department of Gastroenterology and Internal Medicine Moulay Ismail Military Hospital Meknes Morocco Department of Gastroenterology 20 Aout Hospital Azrou Morocco Department of Radiology Moulay Ismail Military Hospital Meknes Morocco

Purpose: To highlight diagnostic challenges of pseudotumoral abdominal tuberculosis. Materials and methods: Three cases of pseudotumoral abdominal tuberculosis were compiled in our department between 2014 and 2015. They were aged 34 years, 42 years and 61 years respectively. They were immunocompetent and had no personal or family history of tuberculosis. Clinical presentations were non-specific, represented by abdominal pain and weight loss in the three patients and chronic diarrhea in one patient. Abdominal ultrasound and computed tomography CT were performed in all patients. Abdominal MRI was performed in one case as well as a colonoscopy. Results: Retroperitoneal tuberculosis and colic tuberculosis were noted in the 1st and 2nd case. Macro-nodular and biliary hepatic tuberculosis was retained in the third case. The diagnosis was based upon histopathology in the 3 cases showing tubercular granuloma with caseation. Anti-tuberculosis therapy was prescribed for 6 months. Evolution was favorable in all patients. Conclusion: Tuberculosis continues to present diagnostic difficulties, particularly in its pseudo-tumoral form, even in endemic tuberculosis countries like ours.

关键词： pseudotumoral Abdominal Tuberculosis Colic Tuberculosis Hepatic Tuberculosis Retroperitoneal Tuberculosis

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