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Lymphocytic choriomeningitis (aseptic meningitis)


Lymphocytic Choriomeningitis (Aseptic Meningitis)

General: Virus of which natural host is house mouse; more common in late 242i81c fall and winter; usually benign.

Ocular: Palpebral edema; optic neuritis; ocular motor palsies; pupillary and accommodative pareses; strabismus; diplopia; conjunctival injection.

Clinical: Fever; meningeal irritation; headaches; confusion; coma; stiffness of neck; Babinski sign; may occur early in the course of human immunodeficiency virus infection; syndrome is considered to be usually viral in origin, with enteroviruses accounting for most cases, but rare bacterial organisms, such as Mycobacterium tuberculosis, Leptospira sp, Brucella sp, Borrelia burgdorferi, and others, may cause aseptic meningitis; drug-induced aseptic meningitis also should be considered.

Kasper DL, et al., eds. Harrisons Principles of Internal Medicine, 16th ed. New York: McGraw-Hill, 2005.

Chaudrhry HJ, Cunha BA. Drug-induced aseptic meningitis. Diagnosis leads to quick resolution. Postgrad Med 1991; 90:65-70.

Duke-Elder S, MacFaul PA. System of Ophthalmology, vol. XIII St. Louis: CV Mosby, 1974.

Nelsen S, et al. The aseptic meningitis syndrome. Am Fam Physician 1993; 48:809-815.

Newton HB. Common neurologic complications of HIV-l infection and AIDS. Am Fam Physician 1995; 51:387-398.




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