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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
.
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