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Yuan X, Chen S, Huang Y. Successful treatment of tuberculosis combined with drug-induced myopathy using corticosteroid therapy: a case report. J Int Med Res 2021; 49:3000605211043239. [PMID: 34525861 PMCID: PMC8450684 DOI: 10.1177/03000605211043239] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
A 39-year-old woman was admitted to our hospital on 19 January 2019 because of a 10-day history of intolerance to oils in her food, fatigue, and yellowing of the skin and sclera. In December 2018, the patient had been diagnosed with tuberculous pleurisy at a local hospital and received quadruple anti-tuberculosis treatment. Ten days before presentation to our hospital, she had developed anorexia, fatigue, nausea, loss of appetite, cough, and shortness of breath. She visited a local hospital, where she was considered to have drug-induced hepatitis. She discontinued the anti-tuberculosis drugs and liver protection treatment. After 3 days, her symptoms had not substantially improved. She visited the infection department of our hospital for further diagnosis and treatment. After 6 days of treatment, the patient's symptoms were not significantly improved, her liver and muscle enzyme concentrations were further increased, and her limbs had become weaker and more difficult to move. We considered diagnoses of drug-induced hepatitis and drug-induced myopathy. The patient was treated with intravenous methylprednisolone at 40 mg once a day for 16 days and other symptomatic treatments. Her symptoms significantly improved and she was discharged.
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Affiliation(s)
- Xinke Yuan
- Department of Nephrology, the First Hospital of Changsha, Kaifu District, Changsha, Hunan, China
| | - Sijia Chen
- Department of Nephrology, the First Hospital of Changsha, Kaifu District, Changsha, Hunan, China
| | - Yinghong Huang
- Department of Nephrology, the First Hospital of Changsha, Kaifu District, Changsha, Hunan, China
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Zayet S, Gendrin V, Toko L, Ruyer O, Leveque HP, Royer PY. Rhabdomyolyse fébrile révélant une tuberculose ganglionnaire abdominale chez un patient immunocompétent. Presse Med 2019; 48:996-999. [DOI: 10.1016/j.lpm.2019.08.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2019] [Revised: 07/27/2019] [Accepted: 08/14/2019] [Indexed: 10/26/2022] Open
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Leite MAA, Orsini M, de Freitas MRG, Pereira JS, Gobbi FHP, Bastos VH, de Castro Machado D, Machado S, Arrias-Carrion O, de Souza JA, Oliveira AB. Another Perspective on Fasciculations: When is it not Caused by the Classic form of Amyotrophic Lateral Sclerosis or Progressive Spinal Atrophy? Neurol Int 2014; 6:5208. [PMID: 25309711 PMCID: PMC4192433 DOI: 10.4081/ni.2014.5208] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2013] [Accepted: 03/28/2014] [Indexed: 12/25/2022] Open
Abstract
Fasciculations are visible, fine and fast, sometimes vermicular contractions of fine muscle fibers that occur spontaneously and intermittently. The aim of this article is to discuss the main causes for fasciculations and their pathophysiology in different sites of the central/peripheral injury and in particular to disprove that the presence of this finding in the neurological examination is indicative of amyotrophic lateral sclerosis. Undoubtedly, most fasciculations have a distal origin in the motor nerve both in normal subjects and in patients with motor neuron disease. Most of them spread to other dendritic spines often producing an antidromic impulse in the main axon. The clinical and neurophysiological diagnosis must be thorough. It may often take long to record fasciculations with electroneuromyography. In other cases, temporal monitoring is necessary before the diagnosis. The treatment, which may be adequate in some cases, is not always necessary.
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Affiliation(s)
- Marco Antonio Araujo Leite
- Neurology Service, Movement Disorders Unit, Fluminense Federal University , Niterói, Rio de Janeiro, Brazil
| | - Marco Orsini
- Neurology Service, Movement Disorders Unit, Fluminense Federal University , Niterói, Rio de Janeiro, Brazil
| | - Marcos R G de Freitas
- Neurology Service, Movement Disorders Unit, Fluminense Federal University , Niterói, Rio de Janeiro, Brazil
| | - João Santos Pereira
- Neurology Service, Movement Disorders Unit, Fluminense Federal University , Niterói, Rio de Janeiro, Brazil ; Neurology Service, Rio de Janeiro University , Brazil
| | | | - Victor Hugo Bastos
- Departament of Physiotherapy, Piaui Federal University , Parnaíba, Brazil
| | | | - Sergio Machado
- Physical Activity Neuroscience, Physical Activity Sciences Postgraduate Program, Salgado de Oliveira University , Niterói, Brazil
| | - Oscar Arrias-Carrion
- Movement Disorders and Sleep Unit, General Hospital Dr. Manuel Gea González, Secretaria de México D.F. , México
| | - Jano Alves de Souza
- Neurology Service, Movement Disorders Unit, Fluminense Federal University , Niterói, Rio de Janeiro, Brazil
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