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Neurobrucellosis: a rare cause for spastic paraparesis
Ahmed, Rishad; Patil, Basanagouda S.
  • Ahmed, Rishad; Al Ameen Medical College. Department of Medicine. Karnataka. IN
  • Patil, Basanagouda S; Al Ameen Medical College. Department of Medicine. Karnataka. IN
Braz. j. infect. dis ; 13(3): 245-245, June 2009.
Artículo en Inglés | LILACS | ID: lil-538530
ABSTRACT
A 41 year old man presented to the outpatient department with a three month history of difficulty in walking. He also had a history of positive sensory symptoms in the form of pins and needle sensation mostly below the waist. His symptoms had been progressive and there was no significant family history. He demonstrated a spastic gait and could only walk with assistance and support. DTR were hypertonic and sensory deficit was observed below twelfth dorsal vertebra. Sphincter abnormalities were present. Plantars were extensor bilaterally. Cerebral and spinal MRI with contrast was unremarkable. Brucella antigen titers were significantly high. CSF report was consistent with neurobrucellosis. After detailed analysis of his history, clinical picture and investigations the diagnosis of neurobrucellosis was made. Combined antimicrobial therapy was started, his neurologic condition gradually improved and he was able to walk without help after three months of treatment. Hence this case showed that neurobrucellosis may present as acquired progressive spastic paraparesis and it should always be borne in mind in patients with spastic paraparesis.
Asunto(s)

Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Brucelosis / Infecciones Bacterianas del Sistema Nervioso Central / Paraparesia Espástica Tipo de estudio: Estudio diagnóstico Límite: Adulto / Humanos / Masculino Idioma: Inglés Revista: Braz. j. infect. dis Asunto de la revista: Enfermedades Transmisibles Año: 2009 Tipo del documento: Artículo País de afiliación: India Institución/País de afiliación: Al Ameen Medical College/IN

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Brucelosis / Infecciones Bacterianas del Sistema Nervioso Central / Paraparesia Espástica Tipo de estudio: Estudio diagnóstico Límite: Adulto / Humanos / Masculino Idioma: Inglés Revista: Braz. j. infect. dis Asunto de la revista: Enfermedades Transmisibles Año: 2009 Tipo del documento: Artículo País de afiliación: India Institución/País de afiliación: Al Ameen Medical College/IN