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Amenábar JJ Durán MI Montejo M Lampreabe I 《Nefrología : publicación oficial de la Sociedad Espa?ola Nefrologia》2006,26(2):270-273
The incidence of herpes simplex virus (HSV) encephalitis is estimated to occur annually in 2-4 cases per million population. HSV encephalitis is exceptional in renal transplant patients, we have found two previous reports after an extensive bibliography search. We report a case of a 47 years old women renal transplant recipient who presented 3 months after transplantation fever, stupor and aphasia. The diagnosis HSV encephalitis was achieved by PCR in cerebrospinal fluid and magnetic resonance imaging. She was treated with aciclovir for 4 weeks and recovered completely without neurologic sequelae. 相似文献
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Daniel G. Amen M.D. Diane Highum M.D. Robert Licata M.D. Joseph A. Annibali M.D. Lillian Somner D.O. H. Edmund Pigott Ph.D. 《Journal of psychoactive drugs》2013,45(2):96-106
Abstract Our objective was to ascertain in a prospective case series how often brain single photon emission computed tomography (SPECT) neuroimaging adds relevant information for diagnosis and/or treatment beyond current standard assessment tools in complex psychiatric cases. Charts of 109 consecutively evaluated outpatients from four psychiatrics clinics that routinely utilize SPECT imaging for complex cases were analyzed in two stages. In stage one, psychiatrists reviewed detailed clinical histories, mental status exams, and the Structured Clinical Interview for DSM-IV, but not the results of SPECT studies, assigned a diagnosis based on DSM-IV criteria, and then developed a comprehensive treatment plan. In stage two, evaluators were given access to the SPECT studies for each patient. The addition of SPECT modified the diagnosis or treatment plan in 78.9% (n = 86; rated level 2 or 3 change) of cases. The most clinically significant changes were undetected brain trauma (22.9%), toxicity patterns (22.9%) and the need for a structural imaging study (9.2%). Specific functional abnormalities were seen as follows that potentially could impact treatment: temporal lobe dysfunction (66.1%) and prefrontal hypoperfusion (47.7%). SPECT has the potential to add clinically meaningful information to enhance patient care beyond current assessment tools in complex or treatment resistant cases. 相似文献
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School Mental Health - Mental health is a major component of overall health and is considered a contributor to the significant levels of disability in Saudi Arabia. Levels of mental health... 相似文献
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Guillermo V. Sanchez Caitlin Biedron Lauren R. Fink Kelly M. Hatfield Jordan Micah F. Polistico Monica P. Meyer Rebecca S. Noe Casey E. Copen Amanda K. Lyons Gonzalo Gonzalez Keith Kiama Mark Lebednick Bonnie K. Czander Amen Agbonze Aimee R. Surma Avnish Sandhu Valerie H. Mika Tyler Prentiss John Zervos Donia A. Dalal Amber M. Vasquez Sujan C. Reddy John Jernigan Paul E. Kilgore Marcus J. Zervos Teena Chopra Carla P. Bezold Najibah K. Rehman 《MMWR. Morbidity and mortality weekly report》2020,69(27):882