IBUPROFEN-INDUCED ASEPTIC MENINGITIS: A CASE REPORT

Detalhes bibliográficos
Autor(a) principal: Pires,Sofia Alexandra Pereira
Data de Publicação: 2019
Outros Autores: Lemos,Ana Pereira, Pereira,Ester Preciosa Maio Nunes, Maia,Paulo Alexandre da Silva Vilar, Agro,João Patrício de Sousa e Alvim Bismarck do
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Paulista de Pediatria (Ed. Português. Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822019000300382
Resumo: ABSTRACT Objective: To report a case of a male adolescent with the diagnosis of ibuprofen-induced meningitis. We discuss themain causes of drug-induced aseptic meningitis (DIAM) and highlight the importance of early recognition of DIAM, sothat the offending drug can be withdrawn, and recurrences prevented. Only few DIAM cases have been reported in pediatric age. Case description: A healthy 15-year-old boy presented to the emergency department with headache, nausea, dizziness, fever, conjunctival hyperemia and blurred vision 30 minutes after ibuprofen-intake. During his stay, he developed emesis and neck stiffness. Cerebrospinal fluid analysis excluded infectious causes, and DIAM was considered. He totally recovered after drug withdrawal. Comments: DIAM is a rare entity, that should be considered in the differential diagnosis of an aseptic meningitis. The major causative agents are nonsteroidal anti-inflammatory drugs, particularly ibuprofen. Suspicion is made by the chronologic link between drug intake and the beginning of symptoms, but infectious causes should always be ruled out.
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spelling IBUPROFEN-INDUCED ASEPTIC MENINGITIS: A CASE REPORTMeningitis, asepticAnti-inflammatory agents, non-steroidalIbuprofenAdolescentABSTRACT Objective: To report a case of a male adolescent with the diagnosis of ibuprofen-induced meningitis. We discuss themain causes of drug-induced aseptic meningitis (DIAM) and highlight the importance of early recognition of DIAM, sothat the offending drug can be withdrawn, and recurrences prevented. Only few DIAM cases have been reported in pediatric age. Case description: A healthy 15-year-old boy presented to the emergency department with headache, nausea, dizziness, fever, conjunctival hyperemia and blurred vision 30 minutes after ibuprofen-intake. During his stay, he developed emesis and neck stiffness. Cerebrospinal fluid analysis excluded infectious causes, and DIAM was considered. He totally recovered after drug withdrawal. Comments: DIAM is a rare entity, that should be considered in the differential diagnosis of an aseptic meningitis. The major causative agents are nonsteroidal anti-inflammatory drugs, particularly ibuprofen. Suspicion is made by the chronologic link between drug intake and the beginning of symptoms, but infectious causes should always be ruled out.Sociedade de Pediatria de São Paulo2019-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822019000300382Revista Paulista de Pediatria v.37 n.3 2019reponame:Revista Paulista de Pediatria (Ed. Português. Online)instname:Sociedade de Pediatria de São Paulo (SPSP)instacron:SPSP10.1590/1984-0462/;2019;37;3;00016info:eu-repo/semantics/openAccessPires,Sofia Alexandra PereiraLemos,Ana PereiraPereira,Ester Preciosa Maio NunesMaia,Paulo Alexandre da Silva VilarAgro,João Patrício de Sousa e Alvim Bismarck doeng2019-10-07T00:00:00Zoai:scielo:S0103-05822019000300382Revistahttps://www.rpped.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.phppediatria@spsp.org.br||rpp@spsp.org.br1984-04620103-0582opendoar:2019-10-07T00:00Revista Paulista de Pediatria (Ed. Português. Online) - Sociedade de Pediatria de São Paulo (SPSP)false
dc.title.none.fl_str_mv IBUPROFEN-INDUCED ASEPTIC MENINGITIS: A CASE REPORT
title IBUPROFEN-INDUCED ASEPTIC MENINGITIS: A CASE REPORT
spellingShingle IBUPROFEN-INDUCED ASEPTIC MENINGITIS: A CASE REPORT
Pires,Sofia Alexandra Pereira
Meningitis, aseptic
Anti-inflammatory agents, non-steroidal
Ibuprofen
Adolescent
title_short IBUPROFEN-INDUCED ASEPTIC MENINGITIS: A CASE REPORT
title_full IBUPROFEN-INDUCED ASEPTIC MENINGITIS: A CASE REPORT
title_fullStr IBUPROFEN-INDUCED ASEPTIC MENINGITIS: A CASE REPORT
title_full_unstemmed IBUPROFEN-INDUCED ASEPTIC MENINGITIS: A CASE REPORT
title_sort IBUPROFEN-INDUCED ASEPTIC MENINGITIS: A CASE REPORT
author Pires,Sofia Alexandra Pereira
author_facet Pires,Sofia Alexandra Pereira
Lemos,Ana Pereira
Pereira,Ester Preciosa Maio Nunes
Maia,Paulo Alexandre da Silva Vilar
Agro,João Patrício de Sousa e Alvim Bismarck do
author_role author
author2 Lemos,Ana Pereira
Pereira,Ester Preciosa Maio Nunes
Maia,Paulo Alexandre da Silva Vilar
Agro,João Patrício de Sousa e Alvim Bismarck do
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Pires,Sofia Alexandra Pereira
Lemos,Ana Pereira
Pereira,Ester Preciosa Maio Nunes
Maia,Paulo Alexandre da Silva Vilar
Agro,João Patrício de Sousa e Alvim Bismarck do
dc.subject.por.fl_str_mv Meningitis, aseptic
Anti-inflammatory agents, non-steroidal
Ibuprofen
Adolescent
topic Meningitis, aseptic
Anti-inflammatory agents, non-steroidal
Ibuprofen
Adolescent
description ABSTRACT Objective: To report a case of a male adolescent with the diagnosis of ibuprofen-induced meningitis. We discuss themain causes of drug-induced aseptic meningitis (DIAM) and highlight the importance of early recognition of DIAM, sothat the offending drug can be withdrawn, and recurrences prevented. Only few DIAM cases have been reported in pediatric age. Case description: A healthy 15-year-old boy presented to the emergency department with headache, nausea, dizziness, fever, conjunctival hyperemia and blurred vision 30 minutes after ibuprofen-intake. During his stay, he developed emesis and neck stiffness. Cerebrospinal fluid analysis excluded infectious causes, and DIAM was considered. He totally recovered after drug withdrawal. Comments: DIAM is a rare entity, that should be considered in the differential diagnosis of an aseptic meningitis. The major causative agents are nonsteroidal anti-inflammatory drugs, particularly ibuprofen. Suspicion is made by the chronologic link between drug intake and the beginning of symptoms, but infectious causes should always be ruled out.
publishDate 2019
dc.date.none.fl_str_mv 2019-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822019000300382
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822019000300382
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1984-0462/;2019;37;3;00016
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade de Pediatria de São Paulo
publisher.none.fl_str_mv Sociedade de Pediatria de São Paulo
dc.source.none.fl_str_mv Revista Paulista de Pediatria v.37 n.3 2019
reponame:Revista Paulista de Pediatria (Ed. Português. Online)
instname:Sociedade de Pediatria de São Paulo (SPSP)
instacron:SPSP
instname_str Sociedade de Pediatria de São Paulo (SPSP)
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institution SPSP
reponame_str Revista Paulista de Pediatria (Ed. Português. Online)
collection Revista Paulista de Pediatria (Ed. Português. Online)
repository.name.fl_str_mv Revista Paulista de Pediatria (Ed. Português. Online) - Sociedade de Pediatria de São Paulo (SPSP)
repository.mail.fl_str_mv pediatria@spsp.org.br||rpp@spsp.org.br
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