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Weekly Case
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Case No. 383
2015-09-01~2015-09-30
출제자 : 안성준
Hit : 335
| Period | 2015-09-01~2015-09-30 |
|---|---|
| Diagnosis | Cerebral malaria |
| Clinical information | M/45 C.C : Fever, general weakness, myalgia, poor oral intake 최근까지 아프리카 적도기니에서 근무 |
| Discussion | – Mosquito-borne infectious disease – Caused by parasitic protozoans belonging to the genus Plasmodium – Plasmodium-infected RBCs sequester in cerebral microvasculature – Vascular occlusions → infarcts ± hemorrhages – Fever, headache, altered sensorium – Seizures, decreased consciousness, coma On CT – Findings vary from normal to striking – Diffuse edema ± obstructive hydrocephalus – Gross hemorrhage uncommon On MRI – Focal infarcts, often multiple – Cortex, basal ganglia (especially thalami) – White matter, cerebellum – FLAIR: Multifocal hyperintensities in WM, thalami – T2* GRE: Hemorrhages "bloom" – DWI: Variable; may show restriction – T1WI C+: Generally none |
| Correct answer |
Correct Answer
Semi-Correct Answer |