Unexpected cause of headache in a patient with Noonan syndrome: aseptic meningitis

Malignancies, autoimmune diseases, viral and fungal infections, as well as aseptic meningitis due to certain drugs are frequently seen. Antibiotics, intravenous immunoglobulin (IVIG), non-steroidal anti-inflammatory drugs are often considered responsible. The incidence following IVIG infusion is 0.0...

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Main Authors: Hacer Efnan Melek Arsoy, Öner Özdemir, Ümmügülsüm Dikici, Ece Tüsüz Önata, Recep Polat
Format: Article
Language:English
Published: Termedia Publishing House 2024-09-01
Series:Alergologia Polska
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Online Access:https://www.termedia.pl/Unexpected-cause-of-headache-in-a-patient-with-Noonan-syndrome-aseptic-meningitis,123,54752,1,1.html
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author Hacer Efnan Melek Arsoy
Öner Özdemir
Ümmügülsüm Dikici
Ece Tüsüz Önata
Recep Polat
author_facet Hacer Efnan Melek Arsoy
Öner Özdemir
Ümmügülsüm Dikici
Ece Tüsüz Önata
Recep Polat
author_sort Hacer Efnan Melek Arsoy
collection DOAJ
description Malignancies, autoimmune diseases, viral and fungal infections, as well as aseptic meningitis due to certain drugs are frequently seen. Antibiotics, intravenous immunoglobulin (IVIG), non-steroidal anti-inflammatory drugs are often considered responsible. The incidence following IVIG infusion is 0.067%; however, symptoms may start to show up anywhere from 6 h to 4 days following infusion. It is challenging to diagnose and is easily overlooked because of symptoms and clinical findings that might arise from a variety of conditions, including headaches, stiff necks, and vomiting. We present a patient with Noonan syndrome who was diagnosed with common variable immunodeficiency due to recurrent illness, had IVIG replacement therapy, and developed aseptic meningitis following the initial course of treatment. No similar case has been documented before in the literature. Noonan syndrome may also be related with an increased incidence of IVIG-associated aseptic meningitis, while the explanation for this association is unclear.
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institution Kabale University
issn 2353-3854
2391-6052
language English
publishDate 2024-09-01
publisher Termedia Publishing House
record_format Article
series Alergologia Polska
spelling doaj-art-e0d78de8e5144f7099d85e96399597722025-01-27T10:35:03ZengTermedia Publishing HouseAlergologia Polska2353-38542391-60522024-09-0111432733110.5114/pja.2024.14294454752Unexpected cause of headache in a patient with Noonan syndrome: aseptic meningitisHacer Efnan Melek ArsoyÖner ÖzdemirÜmmügülsüm DikiciEce Tüsüz ÖnataRecep PolatMalignancies, autoimmune diseases, viral and fungal infections, as well as aseptic meningitis due to certain drugs are frequently seen. Antibiotics, intravenous immunoglobulin (IVIG), non-steroidal anti-inflammatory drugs are often considered responsible. The incidence following IVIG infusion is 0.067%; however, symptoms may start to show up anywhere from 6 h to 4 days following infusion. It is challenging to diagnose and is easily overlooked because of symptoms and clinical findings that might arise from a variety of conditions, including headaches, stiff necks, and vomiting. We present a patient with Noonan syndrome who was diagnosed with common variable immunodeficiency due to recurrent illness, had IVIG replacement therapy, and developed aseptic meningitis following the initial course of treatment. No similar case has been documented before in the literature. Noonan syndrome may also be related with an increased incidence of IVIG-associated aseptic meningitis, while the explanation for this association is unclear.https://www.termedia.pl/Unexpected-cause-of-headache-in-a-patient-with-Noonan-syndrome-aseptic-meningitis,123,54752,1,1.htmlaseptic meningitis intravenous immunoglobulin noonan syndrome
spellingShingle Hacer Efnan Melek Arsoy
Öner Özdemir
Ümmügülsüm Dikici
Ece Tüsüz Önata
Recep Polat
Unexpected cause of headache in a patient with Noonan syndrome: aseptic meningitis
Alergologia Polska
aseptic meningitis
intravenous immunoglobulin
noonan syndrome
title Unexpected cause of headache in a patient with Noonan syndrome: aseptic meningitis
title_full Unexpected cause of headache in a patient with Noonan syndrome: aseptic meningitis
title_fullStr Unexpected cause of headache in a patient with Noonan syndrome: aseptic meningitis
title_full_unstemmed Unexpected cause of headache in a patient with Noonan syndrome: aseptic meningitis
title_short Unexpected cause of headache in a patient with Noonan syndrome: aseptic meningitis
title_sort unexpected cause of headache in a patient with noonan syndrome aseptic meningitis
topic aseptic meningitis
intravenous immunoglobulin
noonan syndrome
url https://www.termedia.pl/Unexpected-cause-of-headache-in-a-patient-with-Noonan-syndrome-aseptic-meningitis,123,54752,1,1.html
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