Caspian Journal of Internal Medicine
1
Caspian J Intern Med
Medical Sciences
http://caspjim.com
1
admin
2008-6164
2008-6172
8
10.22088/cjim
14
8888
13
en
jalali
1395
11
1
gregorian
2017
2
1
8
2
online
1
fulltext
en
Neurobrucellosis in systemic lupus erythematosus
Neurology
Neurology
case report
case report
<p style="line-height: 115%; text-indent: 0in; margin-top: 0in; margin-right: 0in; margin-bottom: 0pt;"><font face="Times New Roman"><b><i><span style="color: blue; line-height: 115%; font-size: 10pt;">Background: </span></i></b><span style="line-height: 115%; font-size: 10pt;"><font color="#000000">Brucellosis is a zoonotic infection which is endemic in many countries. It is a multisystem disease which may present with a broad spectrum of clinical manifestations and complications. Neurobrucellosis is an uncommon complication of brucellosis.</font></span></font></p>
<p style="line-height: 115%; text-indent: 0in; margin-top: 0in; margin-right: 0in; margin-bottom: 0pt;"><font face="Times New Roman"><b><i><span style="color: blue; line-height: 115%; font-size: 10pt;">Case presentation:</span></i></b><font color="#000000"><span style="line-height: 115%; font-size: 10pt;"> A 25-year-old woman with a history of lupus for 5 months referred to the emergency ward of Shahid Beheshti Hospital of Qom due to vertigo, drop attack and a convulsion episode from the previous day. She was unable to move at initial evaluation, and her upper and lower extremities were spastic. She had blurred vision one day after admission.</span><span arial="" style="line-height: 115%; font-size: 10pt;" unicode=""> Based on her past history and suspecting </span><span style="line-height: 115%; font-size: 10pt;">neurological pulmonary presentations</span><span arial="" style="line-height: 115%; font-size: 10pt;" unicode="">, </span><span style="line-height: 115%; font-size: 10pt;">treatment with</span><span arial="" style="line-height: 115%; font-size: 10pt;" unicode=""> </span><span style="line-height: 115%; font-size: 10pt;">immunosuppressive drugs </span><span arial="" style="line-height: 115%; font-size: 10pt;" unicode="">was started</span><span style="line-height: 115%; font-size: 10pt;"> and brain MRI was performed. According to the MRI mode and endemic area, neurobrucellosis was suspected and 2ME and Wright tests were performed. Wight test was 1.5120 while 2ME test was 1.640 which were strongly positive. So, with neurobrucellosis diagnosis, the patient was treated but unfortunately 4 days later, after respiratory apnea, she was pronounced dead.</span></font></font></p>
<p style="line-height: 115%; text-indent: 0in; margin-top: 0in; margin-right: 0in; margin-bottom: 0pt;"><font face="Times New Roman"><b><i><span style="color: blue; line-height: 115%; font-size: 10pt;">Conclusion: </span></i></b><span style="line-height: 115%; font-size: 10pt;"><font color="#000000">In endemic areas for brucellosis, neurobrucellosis should always be kept in mind in the differential diagnosis of neurological and psychiatric cases that are encountered.</font></span></font></p>
Neurobrucellosis, systemic lupus erythematosus
119
122
http://caspjim.com/browse.php?a_code=A-10-38-6&slc_lang=en&sid=1
Jamshid
Vafaeimanesh
jvafaeemanesh@muq.ac.ir
10031947532846008488
10031947532846008488
No
Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran
Alireza
Shahhamzeh
ashahhamzeh@yahoo.com
10031947532846008489
10031947532846008489
No
Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran
Mohammad
Bagherzadeh
m_bagherzadeh3@yahoo.com
10031947532846008490
10031947532846008490
Yes
Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran