[A @entity1 with @entity5 presenting subacute XXXX one year after sustained urinary retention and high serum LDH activity from the onset].

@entity1 @entity129 @entity706 @entity39 @entity303 @entity5 @entity649 @entity602 @entity425 @entity1892 @entity1188 @entity10145
We report a 71-year-old @entity1 with @entity5 who showed high serum LDH and urinary disturbance for one year before manifesting @entity303 . High serum LDH was found at a health check at age 70. Two months later, he had an onset of backache and urinary retention. MRI of the spinal cord was unremarkable. One year later, he showed decline of mental activities and was admitted to our hospital. He was agitated and confused. However @entity129 or @entity425 was not noted. The MRI of the brain showed T2-high signal in bilateral occipital, right temporal lobe and the left insular cortices. The abdominal CT scan showed swelling of the adrenals on both sides. Adrenal biopsy revealed diffuse large @entity1892 . He developed @entity649 and he died two months after the admission. Post mortem examination revealed intravascular and extravascular proliferation of @entity706 cells in most of the internal organs including adrenals, spleen, liver and the kidneys. In the brain, the laminar @entity39 was seen in the left occipital cortex and hemorrhagic @entity1188 were noted in the insular and temporal cortices and the medial temporal cortex. Sacral spinal cord showed @entity39 of the gray matters and loss of myelinated fibers in the white matter. Intravascular proliferation of the @entity706 cells were also seen in the vessels of the brain and the spinal cord. This @entity1 suggests the importance of survey for @entity5 , when high serum LDH and @entity602 of @entity10145 are seen.
