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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
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Demyelinating steroid-responsive neurobrucellosis
Fateen Ata1, Zohaib Yousaf2, Mohammad Khalid Sharif3
1Internal Medicine, Department of Medical Education, Hamad General Hospital,Hamad Medical Corporation, Doha, Qatar.
BMJ Case Reports
|March 11, 2020
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.
