Unexpected cause of headache in a patient with Noonan syndrome: aseptic meningitis
Hacer Efnan Melek Arsoy
1
,
Öner Özdemir
2
,
Ümmügülsüm Dikici
2
,
Ece Tüsüz Önata
2
,
Recep Polat
3
Department of Pediatrics, Faculty of Medicine, Sakarya University, Sakarya Training and Research Hospital, Sakarya, Türkiye
Department of Pediatric Immunology and Allergic Diseases, Faculty of Medicine, Sakarya University, Sakarya Training and Research Hospital, Sakarya, Türkiye
Division of Pediatric Endocrinology, Faculty of Medicine, Sakarya University, Sakarya Training and Research Hospital, Sakarya, Türkiye
Alergologia Polska – Polish Journal of Allergology 2024; 11, 4: 327–331
Melek Arsoy H, Özdemir Ö, Dikici Ü, Önata E, Polat R. Unexpected cause of headache in a patient with Noonan syndrome: aseptic meningitis. Alergologia Polska - Polish Journal of Allergology. 2024;11(4):327-331. doi:10.5114/pja.2024.142944.
APA
Melek Arsoy, H., Özdemir, Ö., Dikici, Ü., Önata, E., & Polat, R. (2024). Unexpected cause of headache in a patient with Noonan syndrome: aseptic meningitis. Alergologia Polska - Polish Journal of Allergology, 11(4), 327-331. https://doi.org/10.5114/pja.2024.142944
Chicago
Melek Arsoy, Hacer Efnan, Öner Özdemir, Ümmügülsüm Dikici, Ece Tüsüz Önata, and Recep Polat. 2024. "Unexpected cause of headache in a patient with Noonan syndrome: aseptic meningitis". Alergologia Polska - Polish Journal of Allergology 11 (4): 327-331. doi:10.5114/pja.2024.142944.
Harvard
Melek Arsoy, H., Özdemir, Ö., Dikici, Ü., Önata, E., and Polat, R. (2024). Unexpected cause of headache in a patient with Noonan syndrome: aseptic meningitis. Alergologia Polska - Polish Journal of Allergology, 11(4), pp.327-331. https://doi.org/10.5114/pja.2024.142944
MLA
Melek Arsoy, Hacer Efnan et al. "Unexpected cause of headache in a patient with Noonan syndrome: aseptic meningitis." Alergologia Polska - Polish Journal of Allergology, vol. 11, no. 4, 2024, pp. 327-331. doi:10.5114/pja.2024.142944.
Vancouver
Melek Arsoy H, Özdemir Ö, Dikici Ü, Önata E, Polat R. Unexpected cause of headache in a patient with Noonan syndrome: aseptic meningitis. Alergologia Polska - Polish Journal of Allergology. 2024;11(4):327-331. doi:10.5114/pja.2024.142944.
Malignancies, autoimmune diseases, viral and fungal infections, as well as aseptic meningitis due to certain drugs are frequently seen. Antibiotics, intravenous immunoglobulin (IVIG), non-steroidal anti-inflammatory drugs are often considered responsible. The incidence following IVIG infusion is 0.067%; however, symptoms may start to show up anywhere from 6 h to 4 days following infusion. It is challenging to diagnose and is easily overlooked because of symptoms and clinical findings that might arise from a variety of conditions, including headaches, stiff necks, and vomiting. We present a patient with Noonan syndrome who was diagnosed with common variable immunodeficiency due to recurrent illness, had IVIG replacement therapy, and developed aseptic meningitis following the initial course of treatment. No similar case has been documented before in the literature. Noonan syndrome may also be related with an increased incidence of IVIG-associated aseptic meningitis, while the explanation for this association is unclear.