Chronic Meningitis

There are no pathognomonic features of chronic meningitis. The classic symptoms, if present, may be extremely subtle and variable. There may be unusual symptoms such as psychoses, movement disorders, and parkinsonian syndrome. The average duration of symptoms is 17 to 43 months, during which symptoms may fluctuate or remain static. CSF that shows a mildly decreased glucose level in the setting of mononuclear pleocytosis should always raise the suspicion of chronic meningitis. The causes are numerous, and attention should be paid to a history of previous systemic diseases, specific infections that could involve the meninges, possible exposures, geographic risk factors, immunologic compromise, and concurrent extraneural involvement (Boxes 42-9 and 42-10).

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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