Résumé
Se presenta el caso de un varón de 44 años de edad, que consultó por fiebre de origen desconocido de dos semanas de evolución. Los cultivos revelaron la presencia del microorganismo Brucella Canis.
Sujets)
Humains , Mâle , Adulte , Brucellose/imagerie diagnostique , Spectroscopie par résonance magnétique , Tomodensitométrie , Maladies endémiques , Brucella canisSujets)
Humains , Mâle , Adulte , Jeune adulte , Maladies testiculaires/microbiologie , Brucellose/complications , Abcès/microbiologie , Scrotum/imagerie diagnostique , Maladies testiculaires/imagerie diagnostique , Testicule/imagerie diagnostique , Brucellose/imagerie diagnostique , Imagerie par résonance magnétique , Abcès/imagerie diagnostiqueRésumé
Although neurological symptoms in brucellosis are frequent, central nervous system [CNS] involvement is uncommon. A 42-year-old man was admitted with an episode of faint without loss of consciousness, right hemi paresis, diplopia and headache lasting for four days. The neurological examination revealed left hemi paresis. Limitation of gazing in left eye in lateral view was seen [partial paresis of 6[th] cranial nerve]. The results of laboratory examinations show positive Wright and Coombs Wright in blood and C.S.F. In the brain CT scan hydrocephaly and in magnetic resonance imaging [MRI] some brain atrophy, few high signal foci in the deep with mater had been detected. Treatment included concurrent administration of three drugs: doxycycline, rifampicin and co-trimoxazole. This patient fully recovered. We suggest that Neurobrucellosis [NB] should always be sought in young patients with ischemic stroke, especially if they do not have any additional risk factors for stroke and live in an endemic area for brucellosis, even if they do not have other systemic signs of brucellosis