:: Volume 8, Issue 2 (2-2017) ::
Caspian J Intern Med 2017, 8(2): 119-122 Back to browse issues page
Neurobrucellosis in systemic lupus erythematosus
Jamshid Vafaeimanesh, Alireza Shahhamzeh, Mohammad Bagherzadeh *
Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran , m_bagherzadeh3@yahoo.com
Abstract:   (6856 Views)

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.

Keywords: Neurobrucellosis, systemic lupus erythematosus
Full-Text [PDF 297 kb]   (1124 Downloads)    
Type of Study: case report | Subject: Neurology
Received: 2015/11/11 | Accepted: 2016/10/17 | Published: 2017/02/21

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Volume 8, Issue 2 (2-2017) Back to browse issues page