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- W2998141136 abstract "24-year-old female,healthy,nurse,arrives with 72 hrs of an intense headache, fever 40 ºC, photophobia, drowsiness, vomiting.Physical examination: Tachycardia, neck stiffness, meningism signs. Lumbar puncture was performed reporting glucose 54mg/dL, Proteins 44mg/dl, Leukocytes 462mm3, PMN 60%. Lactate 9.7, negative Chinese ink in CSF. Treatment with ceftriaxone/vancomycin was started. On the 3rdday Neisseria meningitidis was isolated in a blood culture. Transcranial Doppler ultrasound (TCD) was performed on the third day of treatment, documenting peak systolic velocity (PSV) of 148 cm/sec in left MCA and pulsatility index(PI) 1.22,dexamethasone was started at 30 mg/day. 5thday PSV 120.6cm/sec/ PI 2.24 in left MCA, PSV120 cm/sec, PI of 2.15 in right MCA. 7thday with dexamethasone, PSV of both MCAs were normal. Patient received antibiotic therapy for 14 days. 63-year-old female, with no past medical history arrived with 48 hrs of evolution with intense headache, fever 39 ºC, stupor, neck stiffness and right hemiplegia, conjugate gaze deviation to the left, babinski and chadodck signs bilateral presents. MRI shows left frontal hyperintensity in T2 Flair. Lumbar puncture was performed reporting Glucose 31mg/dL, Proteins 178mg /dl, Leukocytes 3575 mm3, PMN 99%. PCR in CSF Neisseria-meningitidis is detected. Treatment with ceftriaxone/vancomycin is started. TCD was performed on the third day of treatment, documenting PSV of 140 cm/sec in left MCA and PI 2.06, initiating dexamethasone at 30 mg/day. 5th day PSV 177 cm/sec/ PI 2.11 in left MCA, PSV 187 cm/sec,PI of 1.49 in right MCA. 8th day of treatment with dexamethasone, PSV of both MCAs were normalized. Antibiotic was given for 21 days. This report aims to document the usefulness of TCD as a follow-up method in the decision to use steroids at high doses." @default.
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- W2998141136 date "2019-10-01" @default.
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- W2998141136 title "Monitoring of cerebral vasculopathy by transcranial doppler ultrasonography as a guide for the therapeutic use of steroids in neisseria-meningitis series of cases in the hispanic population" @default.
- W2998141136 doi "https://doi.org/10.1016/j.jns.2019.10.1060" @default.
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