ABSTRACT
BACKGROUND: Posterior reversible encephalopathy syndrome (PRES) is a neuroimaging-based syndrome and is associated with multifocal vasogenic cerebral edema. Patients with PRES frequently demonstrate headache, seizure, encephalopathy, altered mental function, visual loss and so on. We here report a patient who showed persistent neurologic deficits after PRES and was ultimately diagnosed with autoimmune encephalitis (AE). CASE SUMMARY: This case exhibits a rare imaging manifestation of anti-casper 2 encephalitis which was initially well-matched with PRES and associated vasogenic edema. CONCLUSION: AE should be further considered when the etiology, clinical manifestations, and course of PRES are atypical.
ABSTRACT
Porodaedalea is a polypore genus of the Hymenochaetales that encompasses pathogens of conifer trees. In this study, we conduct a comprehensive study of the phylogeny and diversity of Porodaedalea based on collections and isolates from Europe, North America, North Africa, and Asia. Phylogenetic analysis of a two-gene data set, nuc ribosomal DNA internal transcribed spacers (ITS1-5.8S-ITS2 = ITS) and translation elongation factor 1-alpha (tef1), shows that 20 terminal clades that correspond to phylogenetic species well supported within Porodaedalea. Based on morphological evidence, five new species, P. alpicola, P. indica, P. kesiyae, P. microsperma, and P. yunnanensis, are described and illustrated. In addition, four still unnamed lineages are detected in North America and East Asia.