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[A case of colchicine-responsive Mollaret's meningitis with MEFV gene mutation].
[familial mediterranean fever]
A
66
-
year
-old
woman
was
admitted
to
our
hospital
with
recurrent
meningitis
.
She
presented
with
10
episodes
of
meningitis
in
10
months
.
Examination
of
cerebrospinal
fluid
demonstrated
pleocytosis
,
with
neutrophils
dominant
at
the
early
stage
,
and
lymphocytes
dominant
at
the
late
stage
.
Mollaret
cells
were
found
and
the
level
of
IL
-
6
was
increased
in
cerebrospinal
fluid
.
Several
antibiotics
and
antiviral
agents
failed
to
prevent
relapse
.
However
,
colchicine
therapy
successfully
prevented
the
recurrence
of
meningitis
.
Genetic
testing
for
familial
Mediterranean
fever
(
FMF
)
showed
a
mutation
in
the
MEFV
gene
.
It
is
difficult
to
diagnose
the
cause
of
Mollaret
's
meningitis
in
some
patients
.
FMF
,
neuro-
Behçet
's
disease
,
and
neuro-
Sweet
disease
should
be
included
in
the
differential
diagnosis
of
recurrent
meningitis
.
In
addition
,
colchicine
therapy
can
prevent
the
relapse
of
meningitis
in
such
cases
.
Diseases
Validation
Diseases presenting
"fever"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
canavan disease
carcinoma of the gallbladder
child syndrome
congenital toxoplasmosis
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial mediterranean fever
focal myositis
hodgkin lymphoma, classical
lamellar ichthyosis
legionellosis
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
papillon-lefèvre syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated
