Acute lethargy in a young woman due to latent disseminated cancer mimicking bacterial meningitis: a diagnostic pitfall

Tsung-Han Ho; Fu-Chi Yang; Hung-Wen Kao; Sy-Jou Chen; Jiunn-Tay Lee; Liang-Wei Wen; Heng-Cheng Chu; Jiann-Chyun Lin

doi:10.1016/j.ajem.2016.02.065

Acute lethargy in a young woman due to latent disseminated cancer mimicking bacterial meningitis: a diagnostic pitfall

Am J Emerg Med. 2016 Oct;34(10):2050.e5-2050.e7. doi: 10.1016/j.ajem.2016.02.065. Epub 2016 Mar 3.

Authors

Tsung-Han Ho¹, Fu-Chi Yang², Hung-Wen Kao³, Sy-Jou Chen⁴, Jiunn-Tay Lee⁵, Liang-Wei Wen⁶, Heng-Cheng Chu⁷, Jiann-Chyun Lin⁸

Affiliations

¹ Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Cheng-Kung Road, Neihu, 114, Taipei, Taiwan. Electronic address: weifang20568@gmail.com.
² Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Cheng-Kung Road, Neihu, 114, Taipei, Taiwan. Electronic address: fuji-yang@yahoo.com.tw.
³ Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Cheng-Kung Road, Neihu, 114, Taipei, Taiwan. Electronic address: cohimeow@gmail.com.
⁴ Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Cheng-Kung Road, Neihu, 114, Taipei, Taiwan. Electronic address: syjou.chen@gmail.com.
⁵ Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Cheng-Kung Road, Neihu, 114, Taipei, Taiwan. Electronic address: jiunntay@ms26.hinet.net.
⁶ Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Cheng-Kung Road, Neihu, 114, Taipei, Taiwan. Electronic address: uknan9@hotmail.com.
⁷ Division of Gastroenterology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Cheng-Kung Road, Neihu, 114, Taipei, Taiwan. Electronic address: chu5583@ms55.hinet.net.
⁸ Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Cheng-Kung Road, Neihu, 114, Taipei, Taiwan. Electronic address: neurojcl@mail.ndmctsgh.edu.tw.

PMID: 26988106
DOI: 10.1016/j.ajem.2016.02.065

No abstract available

Publication types

Case Reports

MeSH terms

Carcinoma, Signet Ring Cell / diagnosis*
Carcinoma, Signet Ring Cell / secondary*
Diagnostic Errors*
Emergency Service, Hospital
Fatal Outcome
Female
Humans
Lethargy / etiology*
Meningeal Carcinomatosis / diagnosis*
Meningeal Carcinomatosis / secondary*
Meningitis, Bacterial / diagnosis*
Stomach Neoplasms / pathology*