PMID: 29769511May 18, 2018Paper

An Elderly Lady with Neurobrucellosis and Multiple Co-morbid Conditions

Mymensingh Medical Journal : MMJ
M N Islam

Abstract

Neurobrucellosis is a rare (1.7-7.0% of prevalence) neurological complication of brucellosis which has neither a typical clinical picture nor specific cerebrospinal fluid (CSF) findings and mimics other neurological disorders leading to clinical diagnostic dilemmas. This study describes one elderly patient of neurobrucellosis with fever, irrelevant behavior, sweating, fatigue, drowsiness, neck stiffness inability to speak and reduced activity for about 10 days hailing from Beanibazar, Sylhet, Bangladesh admitted in Mount Adora Hospital, Sylhet, Bangladesh on 16th October 2016. The diagnosis was depended on history, clinical examination, positive brucella test, CSF examination and CT of the brain. Cerebrospinal fluid (CSF) showed an abnormal finding regarding increased cell count, elevated protein levels and low glucose while blood serology was highly reactive. The patient received a combination antibiotic therapy; meropenem (3gm/day) for 15 days, streptomycin for 21 days, doxycycline 200mg/day for 6 weeks and rifampicin 600mg/day for 3 months. The complete improvement in patient's condition after a long lasting and difficult to diagnose illness motivated author to report this case. As neurobrucellosis is a fatal condition if re...Continue Reading

Related Concepts

Related Feeds

Aminoglycosides (ASM)

Aminoglycoside is a medicinal and bacteriologic category of traditional Gram-negative antibacterial medications that inhibit protein synthesis and contain as a portion of the molecule an amino-modified glycoside. Discover the latest research on aminoglycoside here.

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.

Carbapenems (ASM)

Carbapenems are members of the beta lactam class of antibiotics and are used for the treatment of severe or high-risk bacterial infections. Discover the latest research on carbapenems here.

Brucellosis (ASM)

Brucellosis is a bacterial infection caused by members of the genus brucella and remains one of the world's major zoonotic diseases. Discover the latest research on Brucellosis here.

Aminoglycosides

Aminoglycoside is a medicinal and bacteriologic category of traditional Gram-negative antibacterial medications that inhibit protein synthesis and contain as a portion of the molecule an amino-modified glycoside. Discover the latest research on aminoglycoside here.

Carbapenems

Carbapenems are members of the beta lactam class of antibiotics and are used for the treatment of severe or high-risk bacterial infections. Discover the latest research on carbapenems here.

Brucellosis

Brucellosis is a bacterial infection caused by members of the genus brucella and remains one of the world's major zoonotic diseases. Discover the latest research on Brucellosis here.

Related Papers

Annals of Saudi Medicine
Suda Tekin-KorukMehmet Bayraktar
Revista Da Sociedade Brasileira De Medicina Tropical
Caroline Castro Figueira de MelloGeorge Castro Figueira de Mello
Scandinavian Journal of Infectious Diseases
Y A al-Eissa
Indian Pediatrics
P G Samdani, Shalaaka Patil
© 2022 Meta ULC. All rights reserved