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Rieu JB, Canali A, Thene E, Tavitian S, Bertoli S. Acute promyelocytic leukaemia associated with atypical basophilia. Br J Haematol 2023. [PMID: 37096910 DOI: 10.1111/bjh.18793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Revised: 03/09/2023] [Accepted: 03/24/2023] [Indexed: 04/26/2023]
Affiliation(s)
- Jean-Baptiste Rieu
- Haematology Laboratory, University Hospital of Toulouse - Cancer University Institute of Toulouse, Oncopole, France
| | - Alban Canali
- Haematology Laboratory, University Hospital of Toulouse - Cancer University Institute of Toulouse, Oncopole, France
| | - Emilie Thene
- Haematology Laboratory, University Hospital of Toulouse - Cancer University Institute of Toulouse, Oncopole, France
| | - Suzanne Tavitian
- Department of Haematology, University Hospital of Toulouse - Cancer University Institute of Toulouse, Oncopole, France
| | - Sarah Bertoli
- Department of Haematology, University Hospital of Toulouse - Cancer University Institute of Toulouse, Oncopole, France
- Cancer Research Center of Toulouse, Paul Sabatier University, Toulouse, 3, France
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Oozeerally J, Berthomieu L, Bertozzi AI, Estublier B, Oliver I, Siegfried A, Antherieu P, Thene E, Jamme T, Levade T, Sevely A, Brehin C, Baudou E. Unusual circumstance for craniopharyngioma discovery on meningoencephalitis: a pediatric case report. BMC Pediatr 2023; 23:132. [PMID: 36949415 PMCID: PMC10031871 DOI: 10.1186/s12887-023-03930-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Accepted: 02/22/2023] [Indexed: 03/24/2023] Open
Abstract
BACKGROUND Craniopharyngioma is a rare condition in children, but it is the most frequent tumor that occurs in the hypothalamic pituitary region. Chemical meningitis has been described as an uncommon postoperative complication, but no chemical meningitis due to a spontaneous rupture leading to craniopharyngioma diagnosis in children has been reported. CASE PRESENTATION This is a case of a 13-year-old boy presenting with fever, vomiting and headache for two days. The CT scan revealed a suprasellar lesion, and lumbar puncture showed aseptic meningitis. The cerebral MRI suggested a craniopharyngioma and the cerebrospinal fluid cholesterol concentration was abnormally high. A thorough medical history indicated some visual disturbance, which improved at the onset of meningitis, and an inflection of the growth curve. The anatomopathological analysis of the tumor confirmed the diagnosis of craniopharyngioma. CONCLUSIONS This case is the first to report the discovery of a craniopharyngioma with meningoencephalitis caused by the rupture of a craniopharyngioma cyst in a child. Diagnosis was facilitated by determining the cholesterol level in the cerebrospinal fluid, as well as fine anamnesis to identify visual and growth disturbances.
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Affiliation(s)
- Jihann Oozeerally
- Service de Neurologie Pédiatrique, Hôpital Des Enfants, CHU Toulouse, 330 Avenue de Grande Bretagne, 31059, Toulouse, France
| | - Lionel Berthomieu
- Service de Réanimation Pédiatrique, Hôpital Des Enfants, CHU Toulouse, Toulouse, France
| | | | - Bastien Estublier
- Service de Neurologie Pédiatrique, Hôpital Des Enfants, CHU Toulouse, 330 Avenue de Grande Bretagne, 31059, Toulouse, France
| | - Isabelle Oliver
- Service d'Endocrinologie Pédiatrique, Hôpital Des Enfants, CHU Toulouse, Toulouse, France
| | | | - Pierre Antherieu
- Service de Neurochirurgie, Hôpital Pierre Paul Riquet, CHU Toulouse, Toulouse, France
| | - Emilie Thene
- Laboratoire de Biochimie, CHU Toulouse, Toulouse, France
| | - Thibaut Jamme
- Laboratoire de Biochimie, CHU Toulouse, Toulouse, France
| | - Thierry Levade
- Laboratoire de Biochimie, CHU Toulouse, Toulouse, France
| | - Annick Sevely
- Service de Neuroimagerie, Hôpital Pierre Paul Riquet, CHU Toulouse, Toulouse, France
| | - Camille Brehin
- Service d'Infectiologie et Urgences Pédiatriques, Hôpital Des Enfants, CHU Toulouse, Toulouse, France
| | - Eloïse Baudou
- Service de Neurologie Pédiatrique, Hôpital Des Enfants, CHU Toulouse, 330 Avenue de Grande Bretagne, 31059, Toulouse, France.
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