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DC Field | Value | Language |
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dc.contributor.author | Rosie J. Matthews | en |
dc.contributor.author | Smith, Simon | en |
dc.contributor.author | Wilson, Ian | en |
dc.contributor.author | Tjahjono, Richard | en |
dc.contributor.author | Young, Soon | en |
dc.contributor.author | Hanson, Josh | en |
dc.date.accessioned | 2023-07-27T02:57:30Z | - |
dc.date.available | 2023-07-27T02:57:30Z | - |
dc.date.issued | 2023 | - |
dc.identifier.citation | Matthews RJ, Smith S, Wilson I, Tjahjono R, Young S, Hanson J. Case Report: Vagal Nerve Neuritis Associated with Pulmonary Melioidosis Provides Potential Insights into the Pathophysiology of Neuromelioidosis. Am J Trop Med Hyg. 2023 May 15;108(6):1212-1214. doi: 10.4269/ajtmh.22-0694. PMID: 37188337. | en |
dc.identifier.uri | https://dora.health.qld.gov.au/qldresearchjspui/handle/1/5330 | - |
dc.description | Cairns & Hinterland Hospital and Health Service (CHHHS) affiliated authors: Rosie J Matthews, Simon Smith, Ian Wilson, Richard Tjahjono, Soon Young, Josh Hanson | en |
dc.description.abstract | Encephalomyelitis is the most frequent manifestation of neuromelioidosis in Australia. It is hypothesized that Burkholderia pseudomallei causes encephalomyelitis after entering the brain directly, if complicating a scalp infection, or after traveling to the brain within peripheral or cranial nerves. A 76-year-old man presented with fever, dysphonia, and hiccups. Chest imaging demonstrated extensive bilateral pneumonia with mediastinal lymphadenopathy, blood cultures isolated B. pseudomallei, and nasendoscopy confirmed a left vocal cord palsy. Magnetic resonance imaging identified no intracranial abnormality but demonstrated an enlarged, enhancing left vagus nerve, consistent with neuritis. We hypothesize that B. pseudomallei invaded the vagus nerve in the thorax, was traveling proximally-involving the left recurrent laryngeal nerve and causing the left vocal cord palsy, but had not yet reached the brainstem. Given the frequency of pneumonia in cases of melioidosis, the vagus nerve may represent an alternative, and indeed common, route for B. pseudomallei to enter the brainstem in cases of melioidosis-related encephalomyelitis. | en |
dc.language.iso | en | en |
dc.publisher | American Society of Tropical Medicine and Hygiene | en |
dc.relation.ispartof | The American journal of tropical medicine and hygiene | en |
dc.title | Case Report: Vagal Nerve Neuritis Associated with Pulmonary Melioidosis Provides Potential Insights into the Pathophysiology of Neuromelioidosis | en |
dc.type | Article | en |
dc.identifier.doi | 10.4269/ajtmh.22-0694 | - |
dc.identifier.pmid | 37188337 | - |
item.fulltext | No Fulltext | - |
item.grantfulltext | none | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.cerifentitytype | Publications | - |
item.languageiso639-1 | en | - |
item.openairetype | Article | - |
Appears in Sites: | Cairns & Hinterland HHS Publications |
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