Acute Disseminated Encephalomyelitis Presenting as Fever of Unknown Origin: Case Report

Background: Fever of unknown origin (FUO) can be defined as a body temperature higher than 38.3°C on several occasions over more than 3 weeks, the diagnosis of which remains uncertain after 1 week of evaluation. Acute disseminated encephalomyelitis (ADEM) is an inflammatory demyelinating disease of the central nervous system (CNS) with a wide range of clinical manifestations. The highest incidence of ADEM is observed during childhood and it usually occurs following a viral or bacterial infection or, more rarely, following a vaccination, or without a preceding cause. Case presentation: Here, we describe an atypical case of ADEM that initially manifested as several weeks of FUO in a 15 years old boy. Conclusions: This case report suggests a new possible syndromic association between ADEM and FUO, which should be considered in the clinical examination of patients with FUO, especially in the presence of also modest neurologic or neuropsychiatric symptoms.&nbsp

Acute disseminated encephalomyelitis presenting as fever of unknown origin: case report

BACKGROUND: Fever of unknown origin (FUO) can be defined as a body temperature higher than 38.3°C on several occasions over more than 3 weeks, the diagnosis of which remains uncertain after 1 week of evaluation. Acute disseminated encephalomyelitis (ADEM) is an inflammatory demyelinating disease of the central nervous system with a wide range of clinical manifestations. The highest incidence of ADEM is observed during childhood and it usually occurs following a viral or bacterial infection or, more rarely, following a vaccination, or without a preceding cause. CASE PRESENTATION: Here, we describe an atypical case of ADEM that initially manifested as several weeks of FUO in a fifteen years old boy. CONCLUSIONS: This case report suggests a new possible syndromic association between ADEM and FUO, which should be considered in the clinical examination of patients with FUO, especially in the presence of also modest neurologic or neuropsychiatric symptoms

Systems of Corporate Layout and Company Performance: Towards a Possible Paradigm of Governance

In the last few years the topic of corporate governance has aroused growing attention by scholars, entrepreneurs and investors. It should not be omitted how such interest, attributable to numerous factors, substantially bases its reasons on the various company cracks that have occurred and, furthermore, on the competitive pressure that characterizes the market of capital on an international level. The objective of the work, using a research method based on quality, is to analyse the relation that exists between the adoption of good practices of corporate governance and the pursuance of better company performance, concentrating on the “core” of governance from an internal perspective, that is to say on the board of directors. The study, in particular, aims at examining each single variable of the board of directors, specifically in terms of dimensions, composition, leadership structure, as well as turnover of the chief executive officer, and explaining how the undertaking of specific characteristics has a positive effect on the success of the organizations. The contribution, far from attempting to come to exhaustive conclusions, will hypothesise, through a literature review of the aspects referred to, guidelines in an attempt to highlight a possible paradigm of governance, aimed at favouring the achievement of better company results as well as reinforcing the trust of investors

Acute disseminated encephalomyelitis presenting as fever of unknown origin: case report

Abstract Background Fever of unknown origin (FUO) can be defined as a body temperature higher than 38.3°C on several occasions over more than 3 weeks, the diagnosis of which remains uncertain after 1 week of evaluation. Acute disseminated encephalomyelitis (ADEM) is an inflammatory demyelinating disease of the central nervous system with a wide range of clinical manifestations. The highest incidence of ADEM is observed during childhood and it usually occurs following a viral or bacterial infection or, more rarely, following a vaccination, or without a preceding cause. Case presentation Here, we describe an atypical case of ADEM that initially manifested as several weeks of FUO in a fifteen years old boy. Conclusions This case report suggests a new possible syndromic association between ADEM and FUO, which should be considered in the clinical examination of patients with FUO, especially in the presence of also modest neurologic or neuropsychiatric symptoms.</p