Dear all:
1. Neurological abnormalities
1.1 Tongue fasciculation, low-back pain radiated to coccyx, generalized areflaxia, asymmetry and non-simultaneous muscle weakness, very course of about > 1 year, and proteinorrhachia favor nerve roots; and hence lymphoma > TB/NTM/fungal (Crypto, Histoplasma, or Penicilliosis) infection >>> multicentric localized infection.
Eventually these are not confirmed by electrophysiologic study.
1.2 Neck muscle weakness, mechanical dysphagia, tender muscles, and marked elevated muscle enzymes favor myopathy; and hence multicentric localized infection > lymphoma > TB/NTM/fungal.
Eventually these are confirmed by electrophysiologic study.
2. The whole left leg swelling favors DVT; and hence lymphoma > multicentric localized infection >>> TB/NTM/fungal infection.
Eventually it was severe muscle swelling.
3. Significant and marked weight loss favors lymphoma, TB/NTM/fungal infection > multicentric localized infection.
4. Visceral lymphadenopathy favor TB/NTM/fungal infection, lymphoma > multicentric localized infection.
Therefore, initially before obtaining all investigation results, I very much concerned lymphoma.
The first one who had suspicion of this microorganism is Arjan Worapot krub, not me.
Chusana