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Melioidosis is an infectious disease caused by a gram-negative bacterium called Burkholderia pseudomallei. [1] Most people exposed to B. pseudomallei experience no symptoms; however, those who do experience symptoms have signs and symptoms that range from mild, such as fever and skin changes, to severe with pneumonia, abscesses, and septic shock that could cause death. [1]
Reye syndrome is a rapidly worsening brain disease. [2] Symptoms of Reye syndrome may include vomiting, personality changes, confusion, seizures, and loss of consciousness. [1] While liver toxicity typically occurs in the syndrome, jaundice usually does not. [2]
The underlying mechanism is believed to involve the buildup of ammonia in the blood, a substance that is normally removed by the liver. [2] The diagnosis is typically based on symptoms after ruling out other potential causes. [2] [6] It may be supported by blood ammonia levels, an electroencephalogram, or computer tomography (CT scan) of the ...
ARIA-E refers to cerebral edema, involving the breakdown of the tight endothelial junctions of the blood-brain barrier and subsequent accumulation of fluid. [3] In a double-blind trial of the humanised monoclonal antibody solanezumab (n = 2042), sixteen patients (11 taking the drug, 5 taking a placebo), or 0.78% developed ARIA-E.
Of those who have residual symptoms after PRES, this is attributable largely to hemorrhage. [1] [4] Non-resolution of MRI abnormalities has been linked with poorer outcomes. [4] The presence of brain hemorrhage and cytotoxic edema (brain edema with concomittant brain tissue damage) is also associated with a poor prognosis. [2]
Other symptoms can develop based on the cause. For example, if portal vein thrombosis develops due to liver cirrhosis, bleeding or other signs of liver disease may be present. If portal vein thrombosis develops due to pylephlebitis, signs of infection such as fever, chills, or night sweats may be present. [citation needed]
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Newborn cerebral softening has traditionally been attributed to trauma at birth and its effect on brain tissue into adulthood. [7] However, more recent research shows that cerebral softening in newborns and the degeneration of white matter is caused by asphyxia and/or later infection.