@entity1897 as an initial symptom of XXXX in an Austrian endemic area.

@entity1 @entity9144 @entity7794 @entity6 @entity4401 @entity12732 @entity1897 @entity880 @entity3541 @entity413
BACKGROUND: The objective of this study was to analyze the percentage as well as clinical and laboratory characteristics of @entity9144 ( @entity9144 ) in @entity1 admitted with @entity1897 . Additionally, we looked for diagnostic criteria to distinguish @entity4401 from @entity3541 due to @entity9144 . METHODS: Data collection was done retrospectively from 2007 until 2012. We identified 278 consecutive @entity1 , who were admitted to the department of Neurology due to @entity1897 . @entity1 were routinely investigated for @entity9144 including clinical neurological examination and cerebral spinal fluid (CSF) analysis. Demographic and clinical data were analyzed according to a standardized protocol. RESULTS: In 19 (male (m)  =  14/female (f)  =  5) out of 278 @entity1 (7  %), a diagnosis of @entity9144 was established. There were 8 @entity1 (3  %) identified with varicella zoster ( @entity7794 ) (m  =  7/f  =  1) and 13 @entity1 (5  %) with @entity3541 due to @entity6 (m  =  5/f  =  8). A total of 207 @entity1 (75  %) were diagnosed as @entity4401 (m  =  110/f  =  97). Compared with CSF of @entity1 with @entity3541 due to @entity7794 and @entity6 , @entity1 with @entity9144 showed higher cell count, protein and @entity880 levels, whereas @entity1 with @entity3541 due to @entity6 showed higher @entity413 level. With respect to seasonal clustering, an accumulation of 74  % of the @entity9144 cases was detected from June to October, whereas in the rest of the year there were only 26  % of the @entity9144 cases. @entity1 with @entity4401 are more evenly distributed over the year. Regarding neurological signs and symptoms, radicular symptoms were only reported in the @entity9144 group. Despite radicular symptoms for @entity9144 , no specific signs or symptoms were found for @entity3541 due to @entity7794 , @entity4401 , or @entity6 . CONCLUSIONS: According to the results of our study, we recommend CSF testing in any case for @entity1 with @entity3541 in an endemic area from June to October especially if additional radicular symptoms are present. To establish recommendations for a diagnostic workup in @entity1 with @entity3541 in areas endemic for @entity12732 , the seasonal clustering of @entity9144 as well as specific clinical features should also be confirmed in a future prospective trial.
