Neuro-Behçet's/neuro-Sweet's disease presents simultaneously with severe tonsillitis, and features mimicking bacterial menigitis with skin lesions

Taiji Tsunemi*, Yuki Sakai, Koichi Tsunoda, Yasuhiro Irie, Yoshiaki Wada

*Corresponding author for this work

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

The patient was hospitalized due to rapidly undulant fever and sore throat. Empirical antibiotic therapy was started, however, headache also occurred. Lumbar puncture disclosed polynuclear leukocyte-predominant pleocytosis indicating that the patient suffered from bacterial meningitis. The antibiotics therapy was increased, however, consciousness became impaired and erythema multiforme-like skin lesions appeared. T2-weighted brain magnetic resonance imaging showed high signal intensity in the brainstem. HLA testing revealed B54 and Cw1. The patient presented futures of Behçet's disease at the same time as those of Sweet's syndrome and it was difficult to distinguish between the two diseases. Administration of prednisolone showed remarkable effect.

Original languageEnglish (US)
Pages (from-to)1315-1317
Number of pages3
JournalInternal Medicine
Volume45
Issue number22
DOIs
StatePublished - Dec 15 2006

Keywords

  • HLA typing
  • Neuro-Behçet's disease
  • Neuro-sweet's disease
  • Pleocytosis

ASJC Scopus subject areas

  • Internal Medicine

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