Demyelinating steroid-responsive neurobrucellosis. Issue 3 (8th March 2020)

• Record Type: Journal Article
• Authors: Ata, Fateen; Yousaf, Zohaib; Sharif, Mohammad Khalid; Abdallah, Ahmed
• Is Part Of: BMJ case reports. Volume 13:Issue 3(2020)
• Publication Date: 2020-03-08
• Subjects: meningitis -- medical management -- infection (neurology) -- exposures -- disease and health outcomes; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2019-233798
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Young man with acute onset nausea, vomiting, joint pain, abdominal pain, fever and weight loss was found to have gait ataxia and positive B rucella titres. He deteriorated despite appropriate antibiotics and developed confusion and disorientation. Lumbar puncture revealed lymphocytosis with high protein and low glucose. MRI showed diffuse demyelination. Pulse steroids resulted in rapid clinical, biochemical and radiological recovery.