IBUPROFEN-INDUCED ASEPTIC MENINGITIS: A CASE REPORT
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , |
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aseptic meningitis (DIAM) and highlight the importance of early recognition of DIAM, sothat the offending drug can be withdrawn, and recurrences prevented.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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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aseptic meningitis (DIAM) and highlight the importance of early recognition of DIAM, sothat the offending drug can be withdrawn, and recurrences prevented.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 |
eu_rights_str_mv |
openAccess |
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) |
instacron_str |
SPSP |
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 |
_version_ |
1750318251514003456 |