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A clinical analysis of 20 patients with neurobrucellosis / 中华内科杂志
Chinese Journal of Internal Medicine ; (12): 729-733, 2017.
Artigo em Chinês | WPRIM | ID: wpr-662932
ABSTRACT
Objective To investigate the epidemiological and clinical features of 20 patients with neurobrucellosis (NB).Methods The epidemiological,clinical,laboratory and treatment data of patients diagnosed with NB from 2010 to 2016 in Peking Union Medical College Hospital were retrospectively analyzed.Results Twelve (60%) patients reported the history of contact with infected animals and intake of raw milk product.The common manifestations included headache (85%,17/20),fatigue (85%,17/20),fever (80%,16/20),weight loss (70%,15/20),the signs included pathological reflection (70%,15/20),decreased muscle strength(45%,9/20).The mean time to diagnosis was 7.9 months.All patients were diagnosed by positive serum antibody against Brucella.Body fluid culture revealed positive blood Brucella in 5 (31.2%,5/16) patients and positive cerebrospinal fluid in 3 (16.7%,3/18) patients.The medication consisted of rifampicin and minocycline based regimens or combined with ceftriaxone,fluroquinolone,streptomycin or trimethoprim-sulfamethoxazole (TMP-SMX).Ninety percent (18/20) patients obtained clinical improvement,whereas mild sequelae were observed in 5 patients.Conclusions Clinical features of NB are heterogeneous.Carefully seek for epidemiological clues and early tests for Brucella may lead to well outcome.Combination therapy with two or more active antimicrobial agents is suggested.

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Idioma: Chinês Revista: Chinese Journal of Internal Medicine Ano de publicação: 2017 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Idioma: Chinês Revista: Chinese Journal of Internal Medicine Ano de publicação: 2017 Tipo de documento: Artigo