Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases
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Case Reports
Listeria rhomboencephalitis in a patient on a tumor necrosis factor α inhibitor (etanercept).
We describe a case of an 87-year-old woman with rheumatoid arthritis on etanercept who developed subacute encephalopathy. Magnetic resonance imaging and blood cultures led to the diagnosis of Listeria monocytogenes rhomboencephalitis, which proved to be fatal. ⋯ Gram stain showed small gram-positive rods in the necrotic tissue and the wall lining the abscesses. While rhomboencephalitis is a rare entity, and clinical recognition may be hampered by immunosuppression such as in this case, early blood cultures, lumbar puncture, and empiric treatment with ampicillin should be initiated in all patients with suspected rhomboencephalitis if suggested by imaging and by a clinical concern for infection.
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Patients with fibromyalgia syndrome (FMS) often experience problems such as poor quality of life (QoL), loss of self-efficacy (SE), inappropriate coping behavior, and chronic widespread pain along with other symptoms. Recent studies have indicated that sense of SE and effective coping strategies (CSs) are the crux on which the management of chronic pain and enrichment of QoL of FMS patients depend. Realizing the importance of this subject for the rehabilitation of the people with FMS, this study aimed at analyzing the correlation between severity of FMS, and QoL, SE, and CSs among the patients of FMS. ⋯ This study confirms that problem-focused CSs and SE are important correlates of QoL and severity of FM in Indian as well as other populations.
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[This corrects the article on p. S11 in vol. 17, issue 4 suppl 2, PMID: 21654264. Kamatani Naoyuki should be Naoyuki Kamatani and Hosoya Tatsuo should be Tatsuo Hosoya.].