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:: دوره 8، شماره 2 - ( 11-1395 ) ::
جلد 8 شماره 2 صفحات 122-119 برگشت به فهرست نسخه ها
Neurobrucellosis in systemic lupus erythematosus
چکیده:   (6429 مشاهده)

Background: 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.

Case presentation: 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. Based on her past history and suspecting neurological pulmonary presentations, treatment with immunosuppressive drugs was started 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.

Conclusion: In endemic areas for brucellosis, neurobrucellosis should always be kept in mind in the differential diagnosis of neurological and psychiatric cases that are encountered.

متن کامل [PDF 297 kb]   (1076 دریافت)    
نوع مطالعه: case report | موضوع مقاله: Neurology
دریافت: 1394/8/20 | پذیرش: 1395/7/26 | انتشار: 1395/12/3
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Vafaeimanesh J, Shahhamzeh A, Bagherzadeh M. Neurobrucellosis in systemic lupus erythematosus . Caspian J Intern Med. 2017; 8 (2) :119-122
URL: http://caspjim.com/article-1-660-fa.html

Neurobrucellosis in systemic lupus erythematosus . 1. 1395; 8 (2) :122-119

URL: http://caspjim.com/article-1-660-fa.html



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دوره 8، شماره 2 - ( 11-1395 ) برگشت به فهرست نسخه ها
Caspian Journal of Internal Medicine
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