Think about Neurobrucellosis, When a Man Cries

Authors

  • Laleh Alizadeh Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Mehrdad Haghighi Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Mohammad Farahbakhsh Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Simindokht Shoaei Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Zahra Arab-Mazar Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract:

Neurobrucellosis (N.B) is a rare and severe form of systemic Brucella infection. We introduced an unusual case that “Psychologic Symptoms” was the most prominent complaints of his family. He was a 50-year-old man who has worked in butchery. His problems had begun 2 months prior to his admission with mood disorders, arthralgia, weakness, headache, and night sweats; he has recurrent crying with no obvious environmental problem! Wright agglutination test, Coomb’s Wright and 2ME were negative 2 times in outpatient work-ups and the other lab tests weren’t useful in diagnosis. Treatment trials for acute sinusitis and aseptic meningitis have had some improvements of symptoms but his clinical condition was not acceptable. A brain MRI was performed; results indicated few T2W hypersignal points of white matter specially periventricular. Brucellosis serologic tests were requested “for third time” and the results were positive.The patient has treated with cotrimoxazole, doxycycline, and rifampicin for 6 months. Two weeks after this treatment, all of mentioned symptoms subsided. The brain MRI 6 weeks after treatment was repeated, and the previously seen lesions had improved. The lumber puncture 3 months after treatment was repeated and results were normal. Conclusion: It can be concluded that when a patient in an endemic area suffers from chronic mood disorders, headache, fever, and other non-specific manifestations that cannot be explained by other etiologies; it may be a case of NB. In this case, the “repeated” Wright test and excellent response to NB treatment confirmed the diagnosis.

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

think about neurobrucellosis, when a man cries

neurobrucellosis (n.b) is a rare and severe form of systemic brucella infection. we introduced an unusual case that “psychologic symptoms” was the most prominent complaints of his family. he was a 50-year-old man who has worked in butchery. his problems had begun 2 months prior to his admission with mood disorders, arthralgia, weakness, headache, and night sweats; he has recurrent crying with n...

full text

What I think when I think about treebanks

In this opinion piece, I present four somewhat controversial suggestions for the design of future treebanks: a) Treebanks should be based on adversarial samples, rather than pseudorepresentative samples. b) Treebanks should include multiple splits of the data, rather than just a single split, as in most treebanks today. c) They should include multiple annotations of each sentence, whenever poss...

full text

When Prescribing Pain Medications, Think About Qtc Index

The QT interval in the electrocardiogram is the expression of ventricular repolarisation, it is variable in the general population and highly dependent upon heart frequency; therefore, in clinical practice, the QTc index is used, to correct for heart frequency through the well-known Bazzett’s correction formula (QTc=QT/ RR0.5) for heart frequencies below 90 bpm. The QTc index is considered norm...

full text

When we think about thinking: the acquisition of belief verbs.

Mental-content verbs such as think, believe, imagine and hope seem to pose special problems for the young language learner. One possible explanation for these difficulties is that the concepts that these verbs express are hard to grasp and therefore their acquisition must await relevant conceptual development. According to a different, perhaps complementary, proposal, a major contributor to the...

full text

Think about the joints

Background Musculoskeletal problems are common in children. The majority are self-limiting and related to trauma; however the symptoms can be feature of serious medical conditions. It has been previously shown that musculoskeletal examination is poorly documented. Musculoskeletal examination is a station on the RCPCH clinical exam. Teaching resources on how to perform musculoskeletal examinatio...

full text

Neurobrucellosis.

Brucellosis remains an important health problem in some parts of the world. The disease has virtually disappeared in Western countries but is still endemic in others. In Kuwait, with a population of 1.6 million, a total number of 1168 fresh cases of brucellosis were reported in 1985, an incidence of 68.9/100,000 population. The general presentation of brucellosis remains well recognized and is ...

full text

My Resources

Save resource for easier access later

Save to my library Already added to my library

{@ msg_add @}


Journal title

volume 5  issue 2

pages  591- 595

publication date 2015-12-01

By following a journal you will be notified via email when a new issue of this journal is published.

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023