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Legionellosis presenting as singultus and external ophthalmoplegia.

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Title: Legionellosis presenting as singultus and external ophthalmoplegia.
Authors: Konno, Shingo, Kono, Haruhi, Kitazono, Hisao, Murata, Mayumi, Nakazora, Hiroshi, Nomoto, Nobuatsu, Sugimoto, Hideki, Sanno, Ken, Fujioka, Toshiki
Source: Neurological Sciences. Dec2012, Vol. 33 Issue 6, p1435-1437. 3p.
Subjects: Legionnaires' disease, Eye paralysis, Hiccups, Mild cognitive impairment, Cerebrospinal fluid, Antigens, Older men, Therapeutics, Diseases in older people
Abstract: We report a 71-year-old man with legionellosis, who presented with abducens nerve palsy, singultus, confusion, memory impairment, ataxia, and hyporeflexia. Legionella pneumonia was diagnosed on the basis of detection of Legionella pneumophila antigen in the urine. The cerebrospinal fluid was negative for the antigen and antibody, but an oligoclonal band was detected, and the IgG index was elevated. It was speculated that an undetermined immune-mediated mechanism had contributed to the development of the neurological manifestations. [ABSTRACT FROM AUTHOR]
Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Legionellosis presenting as singultus and external ophthalmoplegia.
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  Data: <searchLink fieldCode="AR" term="%22Konno%2C+Shingo%22">Konno, Shingo</searchLink><br /><searchLink fieldCode="AR" term="%22Kono%2C+Haruhi%22">Kono, Haruhi</searchLink><br /><searchLink fieldCode="AR" term="%22Kitazono%2C+Hisao%22">Kitazono, Hisao</searchLink><br /><searchLink fieldCode="AR" term="%22Murata%2C+Mayumi%22">Murata, Mayumi</searchLink><br /><searchLink fieldCode="AR" term="%22Nakazora%2C+Hiroshi%22">Nakazora, Hiroshi</searchLink><br /><searchLink fieldCode="AR" term="%22Nomoto%2C+Nobuatsu%22">Nomoto, Nobuatsu</searchLink><br /><searchLink fieldCode="AR" term="%22Sugimoto%2C+Hideki%22">Sugimoto, Hideki</searchLink><br /><searchLink fieldCode="AR" term="%22Sanno%2C+Ken%22">Sanno, Ken</searchLink><br /><searchLink fieldCode="AR" term="%22Fujioka%2C+Toshiki%22">Fujioka, Toshiki</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Neurological+Sciences%22">Neurological Sciences</searchLink>. Dec2012, Vol. 33 Issue 6, p1435-1437. 3p.
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  Data: <searchLink fieldCode="DE" term="%22Legionnaires'+disease%22">Legionnaires' disease</searchLink><br /><searchLink fieldCode="DE" term="%22Eye+paralysis%22">Eye paralysis</searchLink><br /><searchLink fieldCode="DE" term="%22Hiccups%22">Hiccups</searchLink><br /><searchLink fieldCode="DE" term="%22Mild+cognitive+impairment%22">Mild cognitive impairment</searchLink><br /><searchLink fieldCode="DE" term="%22Cerebrospinal+fluid%22">Cerebrospinal fluid</searchLink><br /><searchLink fieldCode="DE" term="%22Antigens%22">Antigens</searchLink><br /><searchLink fieldCode="DE" term="%22Older+men%22">Older men</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink><br /><searchLink fieldCode="DE" term="%22Diseases+in+older+people%22">Diseases in older people</searchLink>
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  Data: We report a 71-year-old man with legionellosis, who presented with abducens nerve palsy, singultus, confusion, memory impairment, ataxia, and hyporeflexia. Legionella pneumonia was diagnosed on the basis of detection of Legionella pneumophila antigen in the urine. The cerebrospinal fluid was negative for the antigen and antibody, but an oligoclonal band was detected, and the IgG index was elevated. It was speculated that an undetermined immune-mediated mechanism had contributed to the development of the neurological manifestations. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10072-011-0927-3
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              Text: Dec2012
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