VASCULITIS OWING TO INFECTION - 11/09/11
Riassunto |
Vasculitis (angiitis) involves inflammation of blood vessels. The inflammatory changes can lead to necrosis, occlusion, and aneurysm formation, with resultant infarction and hemorrhage. Vasculitis may be generalized or restricted. The process may be confined to arteries (arteritis) or veins (phlebitis), with preferential involvement of small, medium, or large blood vessels. Infection is a well-recognized cause of secondary vasculitis;11, 59, 60, 89 many different agents have been implicated (Table 1). It is important to have a high index of suspicion for infection as the cause of vasculitis, because treatment can be directed at the underlying organism. General clues to infectious vasculitis are associated fever, abnormality of the peripheral leukocyte count, and recent or current extraneural infection. This review considers pathogenetic mechanisms of infection-related vasculitis, the different pathogen categories and specific etiologic agents, and the syndrome of selective vasculitis of the retina and peripheral nervous system (PNS).
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| Address reprint requests to P.K. Coyle, MD, Department of Neurology, HSC T12-020, SUNY at Stony Brook, Stony Brook, NY 11794-8121 |
Vol 15 - N° 4
P. 903-925 - novembre 1997 Ritorno al numeroBenvenuto su EM|consulte, il riferimento dei professionisti della salute.
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