Demyelinating steroid-responsive neurobrucellosis.
Fateen AtaZohaib YousafMohammad Khalid SharifAhmed AbdallahPublished in: BMJ case reports (2020)
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.
Keyphrases
- abdominal pain
- weight loss
- liver failure
- chronic pain
- chemotherapy induced
- bariatric surgery
- minimally invasive
- magnetic resonance imaging
- contrast enhanced
- blood pressure
- respiratory failure
- roux en y gastric bypass
- neuropathic pain
- cancer therapy
- protein protein
- early onset
- gastric bypass
- low grade
- single cell
- aortic dissection
- drug induced
- ultrasound guided
- middle aged
- blood glucose
- computed tomography
- binding protein
- diffusion weighted imaging
- amino acid
- type diabetes
- loop mediated isothermal amplification
- hepatitis b virus
- small molecule
- spinal cord injury
- intensive care unit
- skeletal muscle
- physical activity
- acute respiratory distress syndrome
- drug delivery
- insulin resistance
- glycemic control
- quantum dots
- magnetic resonance
- body mass index