Relapsed Brucellosis Presenting as Neurobrucellosis with Cerebral Vasculitis in a Patient Previously Diagnosed with Brucellar Spondylitis: A Case Report / 감염과화학요법
Infection and Chemotherapy
; : 268-271, 2015.
Article
en En
| WPRIM
| ID: wpr-92658
Biblioteca responsable:
WPRO
ABSTRACT
Brucellosis is a multisystem disease with various clinical symptoms. Neurobrucellosis is a rare but serious manifestation of brucellosis. A 60-year-old man with a previous diagnosis of brucellar spondylitis presented with sudden onset of aphasia and numbness of the right upper extremity. Cerebral angiography showed diffuse narrowing and dilatation on the distal branches of both the anterior cerebral artery (ACA) and the left middle cerebral artery (MCA) which indicated cerebral vasculitis, and the patient's Brucella agglutinin titer was 1:1280. After combined antimicrobial and steroid therapy was started, the patient's condition improved significantly, and he was discharged after 1 month. Antimicrobial therapy was continued for 16 months on an outpatient basis, and the last Brucella agglutinin titer was 1:40. To our knowledge, this is the first case of relapsed neurobrucellosis with vasculitis in Korea to have been treated successfully.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Pacientes Ambulatorios
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Afasia
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Espondilitis
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Vasculitis
/
Brucella
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Brucelosis
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Angiografía Cerebral
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Arteria Cerebral Anterior
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Arteria Cerebral Media
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Vasculitis del Sistema Nervioso Central
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
País/Región como asunto:
Asia
Idioma:
En
Revista:
Infection and Chemotherapy
Año:
2015
Tipo del documento:
Article