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VOL. 3, ISSUE 2 (2018)
A unique case of brucellosis with central nervous system vasculitis and literature review
Authors
Daniel Hibsher, Ori Argov, Nataly Zilberstein, Hilla Nochomovitz, Inbal Friedman, Doron Gal, Ortal Tamam, Iris Bahir, Ori Rogowski, Lior Charach, Adi Zilberman, Gideon Charach
Abstract
Brucella species are gram-negative, facultative, non-motile intracellular coccobacilli, which replicate inside mononuclear phagocytes. They have zoonotic transmission caused by ingestion of contaminated food, direct contact with an infected animal, or inhalation of aerosols. Case Presentation: A 72-year-old male was admitted to the hospital with a febrile fever of 39.2oC, chills and a 2-week history of urinary urgency. Three days after admission the patient developed new neurological symptoms and signs: confusion, central facial palsy and dysphasia. Brain CT and MRI demonstrated left subacute subdural hematoma, subarachnoid hemorrhage with brain edema and lacunar infarcts. Conclusion: Positive blood cultures and high serologic titer test, followed by fever, severe neurological symptoms, hemorrhagic cerebrospinal fluid, CT and MRI of subdural and subarachnoid hemorrhages as a result of a ruptured aneurism, thrombosis or septic emboli are comparable with neurobrucellosis vasculitis.
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Pages:210-213
How to cite this article:
Daniel Hibsher, Ori Argov, Nataly Zilberstein, Hilla Nochomovitz, Inbal Friedman, Doron Gal, Ortal Tamam, Iris Bahir, Ori Rogowski, Lior Charach, Adi Zilberman, Gideon Charach "A unique case of brucellosis with central nervous system vasculitis and literature review". International Journal of Academic Research and Development, Vol 3, Issue 2, 2018, Pages 210-213
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