La brucelosis en el diagnóstico diferencial de las meningitis asépticas: a propósito de un caso / Aseptic meningitis caused by brucellosis. Report of one case
Rev. méd. Chile
;
148(12): 1844-1847, dic. 2020. tab
Artículo
en Español
| LILACS
| ID: biblio-1389274
ABSTRACT
Aseptic meningitis represents a diagnostic challenge for the clinician. Cytological and chemical parameters are key in the differential diagnosis. Hypoglycorrhachia is a strong predictor of a bacterial origin for aseptic meningitis. We report a 44-year-old male with a history of recurrent febrile headaches admitted with fever and delirium. The initial cerebrospinal fluid (CSF) analysis showed low glucose levels. Magnetic resonance imaging did not show abnormalities. The patient was discharged but was admitted again three weeks later with fever, headache and a stiff neck. The CSF was inflammatory with low glucose levels. Serology for brucellosis was positive. The patient was treated with ceftriaxone and rifampicin with a good clinical response.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Brucelosis
/
Meningitis Aséptica
Tipo de estudio:
Estudio diagnóstico
/
Estudio pronóstico
Límite:
Adulto
/
Humanos
/
Masculino
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2020
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Clínica Las Condes/CL
/
Hospital Clínico Universidad de Chile/CL
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